Larsen, Lillie

Larsen, Lillie is an individual health care provider with primary practice located at 285 Memorial Dr , Crystal Lake IL 60014-6260. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Larsen, Lillie can be contacted via phone (815) 356-2383.

Contact Information

Primary practice address
285 Memorial Dr Crystal Lake IL 60014-6260
Phone: (815) 356-2383
Fax: (815) 356-2385
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X Illinois

Profile Details

NPI number 1003988130
LBN Legal business name Larsen, Lillie
Credentials REGISTERED DIETICIAN
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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