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Individual

LISA CARROLL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, RD, LDN

Contact information

Practice address
525 S WASHINGTON ST, NAPERVILLE, IL 60540-6749
(630) 926-5472
Mailing address
1406 N GREENVIEW AVE UNIT 1, CHICAGO, IL 60642-2352
(630) 926-5472

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.005331
IL

Other

Enumeration date
02/11/2018
Last updated
03/17/2018
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