Individual
MRS. LORAN MARY MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., R.D., L.D.N.
Contact information
Practice address
2401 W MAIN ST, BLDG. 38, RM 217, MARION, IL 62959-1188
(618) 615-6501
Mailing address
2401 W MAIN ST, BLDG. 38, RM 217, MARION, IL 62959-1188
(618) 615-6501
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164006376
IL
Other
Enumeration date
11/25/2014
Last updated
11/25/2014
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