Most Relevant Information
Provider Data
| NPI Number: | 1003669920 |
| Provider Name: | LORI R DITTUS |
| Entity Type: | Individual |
| Taxonomy Code: | 385H00000X |
| Specialty: | Respite Care |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/10/2024 |
| Last Updated: | 04/10/2024 |
Provider Practice Location
110 FANNIE ST
ALMONT
ND
585207701
Practice Location Phone/Fax
| Phone: | 7019200626 |
| Fax: |
Provider Mailing Location
PO BOX 174
ALMONT
ND
585200174
Provider Mailing Phone/Fax
| Phone: | 7019200626 |
| Fax: |