Individual
LAURA M ILG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
95 ARCH SUMMA HEALTH, AKRON, OH 44304
(330) 606-8901
Mailing address
95 ARCH SUMMA HEALTH, AKRON, OH 44304
(216) 524-7377
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
4954
TN
133V00000X
Registered Dietitian
Primary
95110
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5766
LICENSED DIETICIAN
OH
01
—
951110
REGISTRATION
OH
Enumeration date
10/18/2006
Last updated
01/24/2025
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