| Mrs Tara Alexandra Lord, RD CD | |
|
800 Riverside Dr, Waupaca, WI 54981-1943 | |
| (920) 831-5093 | |
| Not Available |
| Full Name | Mrs Tara Alexandra Lord |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 800 Riverside Dr, Waupaca, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396630927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 3836 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Tara Alexandra Lord, RD CD 3 Neenah Ctr, Neenah, WI 54956-3070 Ph: (920) 830-5900 | Mrs Tara Alexandra Lord, RD CD 800 Riverside Dr, Waupaca, WI 54981-1943 Ph: (920) 831-5093 |
Michelle Amber Burington, RD, CD, CLS Dietitian Medicare: Not Enrolled in Medicare Practice Location: 419 Wisconsin St, Waupaca, WI 54981 Phone: 715-305-9202 |
Nancy E. Derkowski, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1401 Churchill St, Waupaca, WI 54981 Phone: 715-258-8131 |