Individual
LORI MARIE VON GARTZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4501 N DAVIS HWY STE C, PENSACOLA, FL 32503-2724
(850) 476-9000
Mailing address
4205 BELFORT RD STE 4015, JACKSONVILLE, FL 32216-3623
(904) 450-6063
(904) 539-4091
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND7943
FL
Other
Enumeration date
10/06/2021
Last updated
10/19/2021
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