Individual
LARA HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
24020 W RIVERWALK CT STE 304, PLAINFIELD, IL 60544-7103
(630) 286-5090
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164-003404
IL
Other
Enumeration date
04/27/2006
Last updated
07/28/2023
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