Individual
MISS LORRAINE JANE LORENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
350 N GRANDVIEW AVE, DUBUQUE, IA 52001
(563) 557-2887
Mailing address
350 N GRANDVIEW AVE, DUBUQUE, IA 52001-6388
(563) 557-2887
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
079886
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079886
STATE LICENSE
IA
Enumeration date
10/23/2015
Last updated
06/08/2018
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