Individual
KERI LEE DODGE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.S., R.D.
Contact information
Practice address
200 EXEMPLA CIR, LAFAYETTE, CO 80026-3370
(303) 689-4513
(303) 689-4519
Mailing address
2815 W 116TH PL, APT #202, WESTMINSTER, CO 80234-4636
(303) 689-4513
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
883268
CO
Other
Enumeration date
06/03/2006
Last updated
07/08/2007
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