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NPI Code Detail

MEDICARE: LAUREN AUTUMN SOMMER RDN

MEDICARE: LAUREN AUTUMN SOMMER RDN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian

General Provider Information

NPI Number : 1316423361
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN AUTUMN SOMMER RDN
Provider Business Mailing Address
First Line : 2551 N CLARK ST STE 400
Second Line :
City : CHICAGO
State : IL
Zip : 60614-7725
Country : US
Telephone Number : 312-775-2351
Fax Number :
Provider Business Practice Location Address
First Line : 2551 N CLARK ST STE 400
Second Line :
City : CHICAGO
State : IL
Zip : 60614-7725
Country : US
Telephone Number : 312-533-1754
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2018
Last Update Date : 09/08/2021

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Directions to “ LAUREN AUTUMN SOMMER RDN” Practice Location

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