Individual
LORA JODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
580 E RIDGE RD, RICHMOND, KY 40475-8421
(859) 358-0931
Mailing address
580 E RIDGE RD, RICHMOND, KY 40475-8421
(859) 358-0931
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
121108
KY
133V00000X
Registered Dietitian
KY-1160
KY
Other
Enumeration date
04/12/2007
Last updated
02/07/2023
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