Individual
LANETTE MERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LRD
Contact information
Practice address
325 BREWSTER ST E, HARVEY, ND 58341-1653
(701) 324-4651
(701) 324-4687
Mailing address
2911 6TH ST NE, HURDSFIELD, ND 58451-9508
(701) 962-3491
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
321
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15596
BLUE CROSS BLUE SHIELD
—
05
—
59967
—
ND
Enumeration date
06/01/2007
Last updated
07/08/2007
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