Individual
LORA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD CSO LDN
Contact information
Practice address
4305 W MEDICAL CENTER DR, MCHENRY, IL 60050-8425
(815) 344-8000
Mailing address
306 FOREST DR, CRYSTAL LAKE, IL 60014-7351
(815) 355-7166
Taxonomy
Speciality
Code
Description
License number
State
133VN1301X
Oncology Nutrition Registered Dietitian
Primary
—
—
Other
Enumeration date
04/15/2021
Last updated
04/15/2021
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