Individual
LU ANN DWYER SEIBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CDE
Contact information
Practice address
430 PENNSYLVANIA AVE, 310, GLEN ELLYN, IL 60137-4464
(630) 545-7871
Mailing address
1860 PAYSPHERE CIR, CHICAGO, IL 60674-0001
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
041191384
IL
Other
Enumeration date
08/11/2011
Last updated
08/11/2011
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