Individual
LUCERO MOLINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
619 W JACKSON BLVD, CHICAGO, IL 60661-5606
(312) 627-0444
(312) 648-0155
Mailing address
619 W JACKSON BLVD, CHICAGO, IL 60661-5606
(312) 627-0444
(312) 648-0155
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.007493
IL
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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