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Individual

SAVANNA ROSE LACOURSIERE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RD, LD

Contact information

Practice address
1900 CENTRACARE CIR STE 2400, SAINT CLOUD, MN 56303-5000
(320) 229-4916
(320) 229-5174
Mailing address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(203) 240-2100
(320) 240-2834

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4238
MN

Other

Enumeration date
01/03/2023
Last updated
12/10/2025
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