Organization
ADVANCED NUTRITION THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORA JODY (REGISTERED DIETITIAN)
(859) 358-0931
Entity
Organization
Contact information
Practice address
580 E RIDGE RD, RICHMOND, KY 40475-8421
(859) 358-0931
Mailing address
196 PREWITT DR, RICHMOND, KY 40475-6806
(859) 358-0931
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1160
KY
Other
Enumeration date
02/01/2018
Last updated
02/07/2023
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