Individual
LORI WILLMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4922 MABLE ST, CORPUS CHRISTI, TX 78411-4029
(262) 930-9751
Mailing address
4922 MABLE ST, CORPUS CHRISTI, TX 78411-4029
(262) 930-9751
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT85315
TX
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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