NPI 1912503210

Lora L Haines, NDTR

Practitioner Registered Dietetic Technician Bellefontaine, OH

Practice location

Address: 205 E Palmer Rd, Bellefontaine, OH 43311-2281
Phone: (937) 593-0245
Mailing address: 110 Dowell Ave, Bellefontaine, OH 43311-2305

Registered specialties

Registered Dietetic Technician Primary

Dietary & Nutritional Service Providers Taxonomy 136A00000X

Other Dietetic Technician, Registered providers in Ohio →

Registry record

NPI: 1912503210
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Dec 2020
Record last updated: 10 Dec 2020

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.