Individual
TERA-LISE M ORR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LRD, IBCLC
Contact information
Practice address
114 5TH AVE W, SABIN, MN 56580-4146
(715) 781-2847
Mailing address
114 5TH AVE W, SABIN, MN 56580-4146
(715) 781-2847
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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