Individual
LAUREN L GERMINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
4220 W 95TH ST STE 200, OAK LAWN, IL 60453-3072
(708) 684-4393
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164008539
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164008539
LICENSE
IL
Enumeration date
12/14/2022
Last updated
04/11/2023
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