Individual
LILLIE THORSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LN, CNSC
Contact information
Practice address
400 S CLARK ST, BUTTE, MT 59701-2328
(406) 723-2489
Mailing address
400 S CLARK ST, BUTTE, MT 59701-2328
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
MED-NUTR-LIC-88564
MT
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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