Individual
LORI ANE QUILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD, CDE
Contact information
Practice address
4100 W 3RD ST, DAYTON, OH 45428-9000
(937) 268-6511
(937) 262-5967
Mailing address
1 RUE ROYALE APT F, KETTERING, OH 45429-1475
(937) 308-5159
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
5218
OH
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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