Individual
MRS. LORI MICHELLE CONGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
215 E MAIN ST, PROVIDENCE, KY 42450-1261
(270) 667-7017
Mailing address
PO BOX 37, PROVIDENCE, KY 42450-0037
(270) 667-7017
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
KY-05-1869
KY
Other
Enumeration date
04/20/2007
Last updated
12/20/2018
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