Tera-Lise M Orr, MS, RD, LRD, IBCLC
Lactation Consultant, Non-RN in Sabin, MN. Individual provider (NPI-1).
NPI number1831815265
StatusActive
Last updated in NPPESOct 18, 2022
Details
- NPI
- 1831815265
- Entity type
- Individual (NPI-1)
- Name
- Tera-Lise M Orr
- Credential
- MS, RD, LRD, IBCLC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 18, 2022
- Certification date
- Oct 17, 2022
- Last updated
- Oct 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174N00000X | Lactation Consultant, Non-RN | – | – | Yes |
| 133V00000X | Dietitian, Registered | – | – |
Practice location
114 5th Ave WSabin, MN 56580-4146
Phone 715-781-2847
Mailing address
114 5th Ave WSabin, MN 56580-4146
Phone 715-781-2847
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