Provider Demographics
NPI:1285482026
Name:HILGERS, LOIS KATHERINE GORNET (MHS RDN LD LNHA)
Entity type:Individual
Prefix:
First Name:LOIS
Middle Name:KATHERINE GORNET
Last Name:HILGERS
Suffix:
Gender:F
Credentials:MHS RDN LD LNHA
Other - Prefix:
Other - First Name:LOIS
Other - Middle Name:KATHERINE
Other - Last Name:GORNET
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MHS RDN LD LNHA
Mailing Address - Street 1:1000 W 10TH ST
Mailing Address - Street 2:
Mailing Address - City:ROLLA
Mailing Address - State:MO
Mailing Address - Zip Code:65401-2905
Mailing Address - Country:US
Mailing Address - Phone:573-458-8899
Mailing Address - Fax:573-341-5611
Practice Address - Street 1:1000 W 10TH ST
Practice Address - Street 2:
Practice Address - City:ROLLA
Practice Address - State:MO
Practice Address - Zip Code:65401-2905
Practice Address - Country:US
Practice Address - Phone:573-458-8899
Practice Address - Fax:573-341-5611
Is Sole Proprietor?:No
Enumeration Date:2024-05-07
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2001026677133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered