Individual
LAURA SAMNADDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
4121 W LAKE ST, CHICAGO, IL 60624-1719
(773) 826-7066
Mailing address
1015 W LAWRENCE AVE, CHICAGO, IL 60640-5017
(773) 826-7066
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164005208
IL
Other
Enumeration date
09/16/2016
Last updated
09/16/2016
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