Lisa M. Shurba, DIETICIAN REGISTERED
NPI #1851374912 in Melrose Park, Illinois
Provider Information
- NPI Number
- 1851374912
- Entity Type
- Individual
- Name
- Lisa M. Shurba, DIETICIAN REGISTERED
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dietitian, Registered
- Credential
- DIETICIAN REGISTERED
- Enumeration Date
- Nov 22, 2005
- Last Updated
- May 24, 2011
Practice Location
- Address
- 701 W NORTH AVE
- Address 2
- DIETARY DEPARTMENT
- City
- Melrose Park
- State
- Illinois
- ZIP Code
- 60160-1612
- Phone
- (708) 681-3200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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