Individual
MRS. LORI MAUREL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDN
Contact information
Practice address
23 DAMIN DR, FARMINGDALE, NY 11735-6407
(516) 297-4897
Mailing address
23 DAMIN DR, FARMINGDALE, NY 11735-6407
(516) 297-4897
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
006537
NY
133V00000X
Registered Dietitian
919702
NY
Other
Enumeration date
05/13/2010
Last updated
05/13/2010
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