Individual
MS. LORELLE DEL MATTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, CD
Contact information
Practice address
161 E LAKE SAMMAMISH SHORE LN NE, SAMMAMISH, WA 98074-6923
(206) 228-0792
Mailing address
161 E LAKE SAMMAMISH SHORE LN NE, SAMMAMISH, WA 98074-6923
(206) 228-0792
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI 60321762
WA
Other
Enumeration date
11/23/2016
Last updated
11/23/2016
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