Individual
LORETTA LYNN SPANGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 W NORFOLK AVE, NORFOLK, NE 68701-4438
(402) 371-4880
Mailing address
50757 WELLINGTON RD, EWING, NE 68735-5500
(402) 371-4880
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
538
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47079687583
—
NE
01
—
874707
CDR
NE
Enumeration date
04/01/2009
Last updated
04/01/2009
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