Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Authentic Health Nutrition LLC

Organization Registered Dietitian · NPI 1790512028

Authentic Health Nutrition LLC is a Registered Dietitian in Champaign, Illinois. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1506 Bluegrass Ln
Champaign, IL 61822-2075
Phone: (217) 552-2851
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1790512028
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lacey Lyons — Owner Of Business · (217) 552-2851
NPI enumeratedSeptember 19, 2024
Last updated in NPPESSeptember 19, 2024
Certification dateSeptember 19, 2024
Mailing address1506 Bluegrass Ln, Champaign, IL 61822-2075

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