NPI | 1396044772 |
---|---|
Former Name | LANA LOUISE LUXENBERG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CO 579546) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WY 216) |
133V00000X Dietitian, Registered (Licence: OH 579546) | |
133V00000X Dietitian, Registered (Licence: PA DN000286) | |
Enumeration Date | 2011-03-24 |
Last Update Date | 2018-03-17 |