NPI 1144354176

Susan Lee Demorlis, RDLDCDE

Practitioner Registered Dietitian Coon Rapids, MN

Practice location

Address: 4050 Coon Rapids Blvd NW Mercy Hospital -- Nutrition Services, Coon Rapids, MN 55433-2522
Phone: (763) 236-8704
Mailing address: 14235 Bowers Dr NW, Ramsey, MN 55303-7211

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 1072 (MN)

Other Dietitian, Registered providers in Minnesota →

Registry record

NPI: 1144354176
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Mar 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.