Kari Lane, RD, CNSC
Dietitian, Registered in Portland, ME. Individual provider (NPI-1).
NPI number1669949517
StatusActive
Last updated in NPPESOct 30, 2018
Details
- NPI
- 1669949517
- Entity type
- Individual (NPI-1)
- Name
- Kari Lane
- Credential
- RD, CNSC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 30, 2018
- Last updated
- Oct 30, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | DI1318 | ME | Yes |
| 133V00000X | Dietitian, Registered | 6331040-4901 | UT |
Practice location
636 Allen AvePortland, ME 04103-3706
Phone 801-913-7349
Mailing address
636 Allen AvePortland, ME 04103-3706
Phone 801-913-7349
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