| Lillie Larsen, REGISTERED DIETICIAN | |
|
285 Memorial Dr, Crystal Lake, IL 60014-6260 | |
| (815) 356-2383 | |
| (815) 356-2385 |
| Full Name | Lillie Larsen |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 285 Memorial Dr, Crystal Lake, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003988130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lillie Larsen, REGISTERED DIETICIAN 13707 W Jackson St, Woodstock, IL 60098-3141 Ph: (815) 206-1067 | Lillie Larsen, REGISTERED DIETICIAN 285 Memorial Dr, Crystal Lake, IL 60014-6260 Ph: (815) 356-2383 |
Amelia Discher, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 760 Mcardle Dr Ste B, Crystal Lake, IL 60014 Phone: 312-771-7501 | |
Heather Masters, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 650 Dakota St Ste A, Crystal Lake, IL 60012 Phone: 815-338-6600 Fax: 815-356-1104 |