Individual
MRS. LORA MARIE HYDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
9 GLEASON RD, GLENVILLE, NY 12302-5307
(518) 384-0562
(518) 384-0562
Mailing address
9 GLEASON RD, GLENVILLE, NY 12302-5307
(518) 384-0562
(518) 384-0562
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
912918
NY
Other
Enumeration date
01/26/2009
Last updated
01/26/2009
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