Individual
LORI THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 SPANN DR STE C, BRANDON, MS 39047-8810
(601) 919-0972
Mailing address
373 RED EAGLE CIR, RIDGELAND, MS 39157-9776
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D0656
MS
Other
Enumeration date
01/14/2008
Last updated
01/14/2008
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