Individual
KELLY CLAIR LORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
6900 NORTH PECOS DR, NORTH LAS VEGAS, NV 89086
(702) 791-9000
Mailing address
117 TRUMPHET LILLY AVE, LAS VEGAS, NV 89183-5574
(607) 743-1186
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
961684
NY
Other
Enumeration date
02/23/2007
Last updated
03/07/2017
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