Individual
LORI HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
267 SLICKBACK RD, BENTON, KY 42025-7629
(270) 252-2715
Mailing address
267 SLICKBACK RD, BENTON, KY 42025-7629
(270) 252-2715
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86048710
KY
Other
Enumeration date
10/12/2015
Last updated
10/12/2015
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