Individual
MRS. LORI MAY RAKIESKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4372 ROUTE 6, KANE COMMUNITY HOSPITAL, KANE, PA 16735-3060
(884) 837-8585
Mailing address
422 MAURUS ST, SAINT MARYS, PA 15857-1120
(814) 834-7091
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN002161
PA
Other
Enumeration date
06/30/2010
Last updated
06/30/2010
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