Individual
LYNN DANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., C.D.E., L.D.
Contact information
Practice address
4338 N RICHMOND ST, CHICAGO, IL 60618-1406
(773) 279-1810
(773) 279-0243
Mailing address
4338 N RICHMOND ST, CHICAGO, IL 60618-1406
(773) 279-1810
(773) 279-0243
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1632613
BLUECROSSBLUESHIELD OF IL
IL
Enumeration date
08/03/2006
Last updated
07/08/2007
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