Individual
LUCILLE WILCZYNSKI COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED DIETITIAN
Contact information
Practice address
761 45TH AVE, STE. 110, MUNSTER, IN 46321-2893
(219) 922-3020
(219) 922-3023
Mailing address
761 45TH STREET, 110, MUNSTER, IN 46321-2893
(219) 922-3020
(219) 922-3023
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
164-003231
IL
133V00000X
Registered Dietitian
Primary
37000462A
IN
Other
Enumeration date
06/05/2006
Last updated
09/18/2015
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