Lavin, Desiree N
Lavin, Desiree N is an individual health care provider with primary practice located at 10309 W Lincoln Hwy , Frankfort IL 60423-1280. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Lavin, Desiree N can be contacted via phone (309) 370-3751.Contact Information
Primary practice address
10309 W Lincoln Hwy
Frankfort IL 60423-1280
Phone: (309) 370-3751
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 164.004666 | Illinois |
Profile Details
| NPI number | 1902013188 |
|---|---|
| LBN Legal business name | Lavin, Desiree N |
| Credentials | Registered Dietitian (RD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2007 |
| Last updated | Apr 5th, 2024 - about 5 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902013188 | NPPES |
| Illinois | Other | 164.004666 | STATE LICENSE |
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