Individual
MRS. LORENE MICHELLE MENICHELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD; CDN
Contact information
Practice address
15598 STATE HIGHWAY 8, MASONVILLE, NY 13804
(607) 265-3322
(607) 265-3349
Mailing address
PO BOX 352, MASONVILLE, NY 13804-0352
(607) 265-3322
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
008351
NY
Other
Enumeration date
12/06/2018
Last updated
12/06/2018
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