LORI L MACK RD
NPI 1093772212
Dietitian, Registered in Center City, MN

Q: What is Lori Mack's NPI number?

The NPI number for Lori Mack is 1093772212. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Q: What is Lori Mack's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Lori Mack was last updated on February 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 01, 2006

15251 PLEASANT VALLEY RD, CENTER CITY, MN 55012(651) 213-4407 Get Directions Write a Review

NPPES record last updated: February 4, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Lori L Mack Rd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LORI L MACK RD (NPI 1093772212) is an individual dietitian, registered in Center City, Minnesota, licensed in Minnesota (2435) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1093772212

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameLORI L MACKCredential: RD

Location Address15251 PLEASANT VALLEY RDCenter City, MN 55012

Mailing Address1418 146th Ln NwAndover, MN 55304-3401 · (804) 943-8507

Phone(651) 213-4407

Sole ProprietorNo

Enumeration DateMay 1, 2006

Last NPPES UpdateFebruary 4, 2015

✔ NPI 1093772212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in MN · 2435

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

15251 PLEASANT VALLEY RD, Center City, MN 55012

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HOLLY LEIGH PEDERSON

Student in an Organized Health Care Education/Training Program