Individual
MRS. LORI L SHOPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.L.D.
Contact information
Practice address
101 CHAD STREET, EVARTS, KY 40828-0039
(606) 837-2108
(606) 837-9389
Mailing address
PO BOX 39, EVARTS, KY 40828-0039
(606) 837-2108
(606) 837-9389
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2186
KY
Other
Enumeration date
12/17/2010
Last updated
12/17/2010
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