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Organization

L.CIRA INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LORAINE CIRA RDN (OWNER)
(303) 880-3236
Entity
Organization

Contact information

Practice address
4485 IRONWOOD LN, TERRE HAUTE, IN 47802-8143
(303) 880-3236
Mailing address
4485 IRONWOOD LN, TERRE HAUTE, IN 47802-8143
(303) 880-3236

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
133VN1005X
Renal Nutrition Registered Dietitian
133VN1006X
Metabolic Nutrition Registered Dietitian

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
133VN1006X
MEDICARE
IN
05
133VN1006X
IN
Enumeration date
01/25/2016
Last updated
01/25/2016
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