Individual
MR. MATTHEW MICHAEL LAUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
1775 BALLARD RD, PARK RIDGE, IL 60068-1005
(847) 318-2729
Mailing address
9305 S 50TH AVE, OAK LAWN, IL 60453-2403
(708) 268-9457
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
IL
Other
Enumeration date
08/22/2006
Last updated
07/08/2007
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