Individual
MRS. TARA ALEXANDRA LORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD CD
Contact information
Practice address
310 N WESTHILL BLVD, APPLETON, WI 54914-2801
(920) 968-2385
Mailing address
1520 S OUTAGAMIE ST, APPLETON, WI 54914-5510
(920) 312-0215
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3836
WI
Other
Enumeration date
06/12/2025
Last updated
06/12/2025
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