Individual
LORI GAY PETTET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
211 SAINT FRANCIS DR, CAPE GIRARDEAU, MO 63703-5049
(573) 331-5145
Mailing address
PO BOX 801143, KANSAS CITY, MO 64180-1143
(573) 331-5583
(573) 331-5079
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2001027038
MO
Other
Enumeration date
01/15/2010
Last updated
03/08/2021
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