Individual
LAUREN ASHLEY RUSK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
9900 N DALEA LN, 9212, PEORIA, IL 61615-7268
(309) 310-7259
Mailing address
221 NE GLEN OAK AVE, PEORIA, IL 61636-4310
(309) 672-4240
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164005366
IL
Other
Enumeration date
11/03/2010
Last updated
11/03/2010
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