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Individual

KORI LALIBERTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
2755 COLONIAL DR, HELENA, MT 59601-4926
(406) 444-7500
(406) 884-2085
Mailing address
PO BOX 5539, HELENA, MT 59604-5539
(406) 444-7500
(406) 884-2085

Taxonomy

Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
90533
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
90533
LICENSE
MT
Enumeration date
11/03/2020
Last updated
11/03/2020
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