Individual
LORI JEAN TREB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11855 ULYSSES ST NE, BLAINE, MN 55434-3947
(763) 785-4200
(763) 785-8419
Mailing address
11855 ULYSSES ST NE, BLAINE, MN 55434-3947
(763) 785-4200
(763) 785-8419
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1229
MN
Other
Enumeration date
11/18/2009
Last updated
11/18/2009
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