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Individual

MS. LEEANNA LYNN STOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, LD, CO

Contact information

Practice address
927 TRETTEL LN, CLOQUET, MN 55720-1345
(218) 879-1227
Mailing address
927 TRETTEL LN, CLOQUET, MN 55720-1345
(218) 879-1227

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2146
MN

Other

Enumeration date
05/15/2006
Last updated
04/18/2017
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