Individual
LORI L TIESSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., C.D.E.
Contact information
Practice address
2000 HOSPITAL DR, SEDRO WOOLLEY, WA 98284-4327
(360) 856-6021
(360) 856-7300
Mailing address
4607 CYPRESS DR, ANACORTES, WA 98221-1114
(360) 293-9765
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI00001796
WA
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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