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

Samantha Annitza Lazar, RD

Individual provider Registered Dietitian · NPI 1053012591

Samantha Annitza Lazar, RD is a Registered Dietitian in Chicago, Illinois. Licensed in Missouri. Registered with an NPI since 2023.

Licensed in
MO
In the registry since
2023
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

2045 W Grand Ave Ste B Pmb 37767
Chicago, IL 60612-1577
Phone: (800) 827-7437
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 2023008696 (MO)

Record details

NPI number1053012591
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorNo
NPI enumeratedMarch 13, 2023
Last updated in NPPESSeptember 29, 2025
Certification dateSeptember 29, 2025

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