Individual
LAURA LEAH DOLEZAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(312) 569-6493
(312) 569-6118
Mailing address
5 N OAKLEY BLVD APT 305, CHICAGO, IL 60612-2229
(708) 421-3029
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.003759
IL
Other
Enumeration date
05/22/2007
Last updated
12/17/2019
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