Individual
LANE RENEE LIPETZKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1027 WASHINGTON AVE, DETROIT LAKES, MN 56501-3409
(218) 844-2300
Mailing address
2152 BROOKRIDGE DR, DETROIT LAKES, MN 56501-4802
(218) 790-5911
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4581
MN
Other
Enumeration date
02/22/2022
Last updated
03/14/2022
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