Individual
LAUREN ELIZABETH NICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
333 N MICHIGAN AVE, SUITE 1900, CHICAGO, IL 60601-3901
(312) 540-9955
Mailing address
1140 S LORRAINE RD, APT 2A, WHEATON, IL 60189-7072
(978) 979-0030
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.005290
IL
Other
Enumeration date
02/20/2012
Last updated
02/20/2012
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