Individual
STEPHENIE DEE LORDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD, CDCES
Contact information
Practice address
98 POPLAR ST, BLACKFOOT, ID 83221-1799
(208) 785-3867
(208) 782-3981
Mailing address
2811 HAWKWEED ST, POCATELLO, ID 83204-3651
(205) 681-5600
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D-660
ID
Other
Enumeration date
07/22/2025
Last updated
07/22/2025
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