| Anne M Lauterjung, MNT | |
|
1614 E Norris Dr, Ottawa, IL 61350-3681 | |
| (815) 434-2273 | |
| (815) 433-0067 |
| Full Name | Anne M Lauterjung |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 1614 E Norris Dr, Ottawa, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881614857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 164000314 (Illinois) | Primary |
| Provider Name | Ottawa Regional Hospital & Healthcare Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1306971080 PECOS PAC ID: 9133029861 Enrollment ID: O20040109000910 |
| Provider Name | Sodexo Operations Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1528034436 PECOS PAC ID: 9739092875 Enrollment ID: O20040506001415 |
| Provider Name | Saint James Hospital |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1891399432 PECOS PAC ID: 0648187252 Enrollment ID: O20050713000208 |
| Provider Name | Osf Multi-specialty Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Anne M Lauterjung, MNT 1614 E Norris Dr, Ottawa, IL 61350-3681 Ph: (158) 434-2273 | Anne M Lauterjung, MNT 1614 E Norris Dr, Ottawa, IL 61350-3681 Ph: (815) 434-2273 |
Katherine Kaufman, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1100 E Norris Dr, Ottawa, IL 61350 Phone: 815-431-5290 | |
Valerie Leonard, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1100 E Norris Dr, Ottawa, IL 61350 Phone: 815-431-5372 |