NPI 1861633653

Stacy Dawn Koll, RDLD

Practitioner Registered Dietitian Detroit Lakes, MN

Practice location

Address: 1027 Washington Ave, Detroit Lakes, MN 56501-3409
Phone: (218) 847-0847
Fax: (218) 844-0704

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 2380 (MN)

Other Dietitian, Registered providers in Minnesota →

Registry record

NPI: 1861633653
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Mar 2009
Record last updated: 9 Mar 2009

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.