Individual
LORI AMANDA MIDDLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN, IBCLC
Contact information
Practice address
13222 ORCA SOUND DR, RIVERVIEW, FL 33579-3518
(719) 406-8169
Mailing address
13222 ORCA SOUND DR, RIVERVIEW, FL 33579-3518
(719) 406-8169
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
FL
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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