Individual
LORI JEAN DATHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
603 HARKRIDER ST, CONWAY, AR 72032-5633
(501) 514-0417
Mailing address
9 COOK LN, CONWAY, AR 72032-9436
(501) 548-1534
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0905
AR
133V00000X
Registered Dietitian
905
AR
Other
Enumeration date
09/30/2020
Last updated
11/27/2023
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