Lillie Larsen in Crystal Lake - Dietitian, Registered

Lillie Larsen - NPI 1003988130

Lillie Larsen is a Dietitian, Registered in Crystal Lake, Illinois. Lillie Larsen practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Lillie Larsen is 1003988130. The last update date is 2007-07-08.

Lillie Larsen's current location address is 285 Memorial Dr, Crystal Lake, Illinois. You can contact this provider via phone number 8153562383 and fax number 8153562385. The mailing address for Lillie Larsen is 285 Memorial Dr, Crystal Lake, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Lillie Larsen
Address 285 Memorial Dr, Crystal Lake, Illinois
Phone Number 8153562383
Fax Number 8153562385
Sole Proprietor N
Credentials REGISTERED

NPI Number Detail

NPI Number 1003988130
Provider Enumeration Date 2006-11-14
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 285 Memorial Dr
City Crystal Lake
State Illinois (IL)
Post Code 600146260
Phone Number 8153562383
Fax Number 8153562385

Provider's Primary Taxonomy Detail

Speciality Dietitian, Registered
Taxonomy 133V00000X
Definition:
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of

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FAQs about Lillie Larsen

What is the unique identifier code issued to Lillie Larsen by the Centers for Medicare & Medicaid Services (CMS)?

The Lillie Larsen has been assigned the NPI (National Provider Identifier) 1003988130. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Lillie Larsen is physically located?

The Lillie Larsen is situated at the following address: 285 Memorial Dr, Crystal Lake, IL 600146260.

What is Lillie Larsen's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Lillie Larsen is Dietitian, Registered, and the taxonomy code that categorizes this field of expertise is 133V00000X.

On what date did the Lillie Larsen receive the assignment of its 1003988130 from the Centers for Medicare & Medicaid Services?

The Lillie Larsen was issued its 1003988130 by the Centers for Medicare & Medicaid Services on 2006-11-14.

As of what date was the information pertaining to Lillie Larsen, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Lillie Larsen, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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