Lori B Gooch, RDN
Dietitian, Registered in Sanford, NC. Individual provider (NPI-1).
NPI number1659135366
StatusActive
Last updated in NPPESFeb 13, 2024
Details
- NPI
- 1659135366
- Entity type
- Individual (NPI-1)
- Name
- Lori B Gooch
- Credential
- RDN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 13, 2024
- Certification date
- Feb 13, 2024
- Last updated
- Feb 13, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | – | – | Yes |
Practice location
165 Wood RunSanford, NC 27332-6665
Phone 719-339-9728
Mailing address
165 Wood RunSanford, NC 27332-6665
Phone 719-339-9728
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