Provider Demographics
NPI:1154650638
Name:STEFKO, LORI (MS, RD)
Entity Type:Individual
Prefix:MS
First Name:LORI
Middle Name:
Last Name:STEFKO
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:340 W HANOVER AVE
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-2777
Mailing Address - Country:US
Mailing Address - Phone:973-539-9791
Mailing Address - Fax:
Practice Address - Street 1:340 W HANOVER AVE
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-2777
Practice Address - Country:US
Practice Address - Phone:973-539-9791
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-14
Last Update Date:2011-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered