Mary Elizabeth Lanigan, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

164005919 Issued in IL

Practice address

2113 W Balmoral Ave
Chicago, IL 60625-1005

Phone

(586) 337-7333

NPI assigned

Mar 26, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Mary Elizabeth Croxon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1053872796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2113 W BALMORAL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606251005",
            "telephone_number": "586-337-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2113 W BALMORAL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606251005",
            "telephone_number": "586-337-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANIGAN",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-26",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164005919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "CROXON",
            "middle_name": "ELIZABETH",
            "prefix": "MISS",
            "credential": "RD, LDN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelsey Lanham, MAT
• Samantha Lanham
• Ana Lanier
• Steven Tyler Lanier, MD
• Kelsey Lanigan
• Patrick McCafferty Lank, M.D.
• Lavanya Lanka, MBBS
• Erin Lanke, OT
• Wendy Lankenau, RN
• Christian David Lankford

• Registered Dietitian in Chicago, IL
• Providers in Chicago, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.