Individual
KIMBERLEY LANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CD.
Contact information
Practice address
3901 S 7TH ST, TERRE HAUTE, IN 47802-5709
(812) 237-2172
(812) 242-6555
Mailing address
3901 S 7TH ST, TERRE HAUTE, IN 47802-5709
(812) 237-2172
(812) 242-6555
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37002415A
IN
Other
Enumeration date
08/20/2014
Last updated
10/03/2014
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