Individual
LORI LYNN OGDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
312 9TH ST SW, WAVERLY, IA 50677-2999
(319) 352-4120
Mailing address
312 9TH ST SW, WAVERLY, IA 50677-2999
(319) 352-4120
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
00960
IA
Other
Enumeration date
10/09/2018
Last updated
10/09/2018
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