Individual
LOIS SENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
855 SEQUOIA CIR, FORT BRAGG, CA 95437-5466
(707) 964-1251
(707) 961-4023
Mailing address
205 SOUTH ST, FORT BRAGG, CA 95437-5540
(707) 964-1251
(707) 961-4023
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
307019
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1861670093
MCC SEQUOIA SITE NPI
CA
05
—
CMM71141F
—
CA
Enumeration date
04/03/2012
Last updated
04/03/2012
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