Individual
MS. SUSAN LEE DEMORLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD, CDE
Contact information
Practice address
4050 COON RAPIDS BLVD NW, MERCY HOSPITAL -- NUTRITION SERVICES, COON RAPIDS, MN 55433-2522
(763) 236-8704
Mailing address
14235 BOWERS DR NW, RAMSEY, MN 55303-7211
(763) 421-8159
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1072
MN
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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