Individual
LORI BLANKEMEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15698 OLD STATE ROUTE 65, OTTAWA, OH 45875-9518
(419) 615-7891
Mailing address
15698 OLD STATE ROUTE 65, OTTAWA, OH 45875-9518
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
5147
OH
Other
Enumeration date
04/16/2014
Last updated
04/17/2014
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