Stacy Lueck RD

NPI 1467613661 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1467613661
Gender Female
Enumeration Date 06/19/2008
Last Updated 06/19/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
11703 E SPRAGUE AVE STE C3
SPOKANE VALLEY WA, 99206-6129, US
Phone (509) 921-6560
Fax (509) 921-6551
Business Location
4003 E FUNK AVE
SPOKANE WA, 99223-5356, US
Phone (509) 921-6560
Fax (509) 921-6551
Toxanomy
Taxonomy Code 133V00000X
License State Washington
License Number D100001230
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According to our database, Stacy Lueck RD NPI is 1467613661, taxonomy code is 133V00000X and license number is D100001230, license state is located at Washington. Stacy Lueck RD physically located at 11703 E Sprague Ave Ste C3, Spokane Valley WA, 99206-6129. NPI Number Stacy Lueck RD has the Individual type.

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1467613661 NPI number is provided on an as is basis without warranty of any kind. 1467613661 is maintained by the National Plan & Provider Enumeration System. The contents of Stacy Lueck RD are for informational purposes only.