Individual
MRS. LORI LYNN VANDERWEELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CSP
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
912475
MI
133V00000X
Registered Dietitian
912475
OH
133VN1004X
Pediatric Nutrition Registered Dietitian
912475
IN
Other
Enumeration date
11/14/2011
Last updated
09/06/2023
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