NPI 1982285672 · live from the CMS NPI Registry
Lora Anderson, RD CSO LDN
Dietitian, Registered, Nutrition, Oncology in Mchenry, IL. National Provider Identifier 1982285672, active.
NPI record
| NPI | 1982285672 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered, Nutrition, Oncology 133VN1301X |
| Practice location | 4305 W Medical Center Dr, Mchenry, IL 60050 |
| Practice phone | 815-344-8000 |
| Mailing address | 306 Forest Dr, Crystal Lake, IL 60014 |
| Enumerated | April 15, 2021 |
| Last updated | April 15, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered, Nutrition, Oncology primary | 133VN1301X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.