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Individual

MRS. LORI JEAN DE ZANEK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.D.

Contact information

Practice address
4940 E STATE ST, SUITE 3, ROCKFORD, IL 61108-2270
(815) 227-0081
(815) 227-5854
Mailing address
6807 ASPEN CT, SPRING GROVE, IL 60081-8008
(815) 675-0109

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
IL

Other

Enumeration date
11/02/2006
Last updated
07/08/2007
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