Individual
LISA CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
16221 W 159TH ST STE 102, LOCKPORT, IL 60441-7959
(847) 868-3435
Mailing address
175 E HAWTHORN PKWY STE 235, VERNON HILLS, IL 60061-1454
(847) 868-3435
(847) 868-3435
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164007042
IL
Other
Enumeration date
06/02/2017
Last updated
06/02/2017
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