Lori L Mack, RD is a
Dietitian, Registered based in Center City, Minnesota. Lori L Mack is licensed to practice in Minnesota (license number 2435) and her current practice location is
15251 Pleasant Valley Rd, Center City, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(651) 213-4407.
NPI number for Lori L Mack is 1093772212 and her current mailing address is 1418 146th Ln Nw, Andover, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093772212.
Healthcare Provider's Profile
Full Name | Lori L Mack |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 15251 Pleasant Valley Rd, Center City, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1093772212
- Provider Enumeration Date: 05/01/2006
- Last Update Date: 02/04/2015
Medical Identifiers
Medical identifiers for Lori L Mack such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093772212 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 2435 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lori L Mack is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Lori L Mack, RD 1418 146th Ln Nw, Andover, MN 55304-3401 Ph: (804) 943-8507 | Lori L Mack, RD 15251 Pleasant Valley Rd, Center City, MN 55012 Ph: (651) 213-4407 |
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