Theresa M Laurenz MS, RD, LDN

NPI 1023307873 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1023307873
Gender Female
Enumeration Date 04/01/2011
Last Updated 04/01/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
836 W WELLINGTON AVE
CHICAGO IL, 60657-5147, US
Phone (773) 296-5912
Fax
Business Location
836 W WELLINGTON AVE
CHICAGO IL, 60657-5147, US
Phone
Fax
Toxanomy
Taxonomy Code 133V00000X
License State Illinois
License Number 164005250
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According to our database, Mrs. Theresa M Laurenz MS, RD, LDN NPI is 1023307873, taxonomy code is 133V00000X and license number is 164005250, license state is located at Illinois. Theresa M Laurenz MS, RD, LDN physically located at 836 W Wellington Ave, Chicago IL, 60657-5147. NPI Number Theresa M Laurenz MS, RD, LDN has the Individual type.

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1023307873 NPI number is provided on an as is basis without warranty of any kind. 1023307873 is maintained by the National Plan & Provider Enumeration System. The contents of Theresa M Laurenz MS, RD, LDN are for informational purposes only.