Individual
LORI GRANICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
1941 GRAND PRAIRIE DR, NEW LENOX, IL 60451-3561
(773) 848-3651
Mailing address
13421 S AVENUE L, CHICAGO, IL 60633-1521
(773) 848-3651
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1005436
IL
Other
Enumeration date
02/12/2014
Last updated
07/15/2024
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