Individual
LISA LORENZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 S GREENVIEW AVE, MUNDELEIN, IL 60060-2163
(847) 207-7424
Mailing address
103 S GREENVIEW AVE, MUNDELEIN, IL 60060-2163
(847) 207-7424
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164005906
IL
Other
Enumeration date
01/17/2018
Last updated
01/17/2018
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