Individual
KRISTEN LORENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3800 RESERVOIR RD NW FL 2, WASHINGTON, DC 20007-2113
(202) 579-0795
Mailing address
2727 REEDS LAKE BLVD SE, GRAND RAPIDS, MI 49506-2053
(616) 443-7775
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI100000495
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
974290
COMMISSION DIETETIC REGISTRATION (CDR)
—
01
—
DI100000495
DC DOH LICENSE
DC
Enumeration date
11/10/2021
Last updated
11/10/2021
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