Individual
LORRAINE GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
5TH & TED STEVENS WAY, KOTZEBUE, AK 99752
(907) 442-7212
Mailing address
PO BOX 521, KOTZEBUE, AK 99752-0521
(907) 412-2980
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DT6472
—
AK
Enumeration date
06/13/2007
Last updated
04/20/2015
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