Individual provider · Type 1 NPI

Samantha Annitza Lazar, RD

Registered Dietitian · Chicago, IL

NPI number 1053012591 Active

Practice location

2045 W Grand Ave Ste B, Pmb 37767
Chicago, IL 60612-1577

Call (800) 827-7437 Map

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000X2023008696 (MO)

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1053012591

Samantha Annitza Lazar, RD's National Provider Identifier is 1053012591, issued on Mar 13, 2023. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Chicago, IL. The record was last updated on Sep 29, 2025.