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Individual

SAMANTHA LUCERO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDN, LDN

Contact information

Practice address
1943 S MAY ST STE 1F, CHICAGO, IL 60608-3359
(312) 549-8866
Mailing address
1048 GREENBRIAR DR, GLENDALE HEIGHTS, IL 60139-4502

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164008404
IL
133V00000X
Registered Dietitian
86291165
IL

Other

Enumeration date
09/03/2021
Last updated
09/03/2021
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