Stacy Lueck in Spokane - Dietitian, Registered

Stacy Lueck - NPI 1467613661

Stacy Lueck is a Dietitian, Registered in Spokane, Washington. Stacy Lueck practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Stacy Lueck is 1467613661. The last update date is 2008-06-19.

Stacy Lueck's current location address is 4003 E Funk Ave, Spokane, Washington. You can contact this provider via phone number 5099216560 and fax number 5099216551. The mailing address for Stacy Lueck is 4003 E Funk Ave, Spokane, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Stacy Lueck
Address 4003 E Funk Ave, Spokane, Washington
Phone Number 5099216560
Fax Number 5099216551
Sole Proprietor N
Credentials RD

NPI Number Detail

NPI Number 1467613661
Provider Enumeration Date 2008-06-19
Last Updated Date 2008-06-19

Provider Mailing Address Detail

Address 4003 E Funk Ave
City Spokane
State Washington (WA)
Post Code 992235356
Phone Number 5099216560
Fax Number 5099216551

Provider's Primary Taxonomy Detail

Speciality Dietitian, Registered
Taxonomy 133V00000X
Licence No D100001230
Definition:
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
D100001230 WA WA CERTIFICATION NUMBER
9051731 WA --
851672 WA ADA NUMBER
8261471 WA PROVIDER NUMBER

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FAQs about Stacy Lueck

What is the unique identifier code issued to Stacy Lueck by the Centers for Medicare & Medicaid Services (CMS)?

The Stacy Lueck has been assigned the NPI (National Provider Identifier) 1467613661. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical address where Stacy Lueck is geographically located?

The Stacy Lueck is physically situated at the following location: 4003 E Funk Ave, Spokane, WA, 992235356.

What is the Stacy Lueck's area of specialization and corresponding taxonomy classification?

The Stacy Lueck's specialty field is Dietitian, Registered, and it falls under the taxonomy code 133V00000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services assign the 1467613661 to Stacy Lueck?

The Centers for Medicare & Medicaid Services assigned the 1467613661 to Stacy Lueck on 2008-06-19.

As of what date were the details pertaining to Stacy Lueck last refreshed?

The information related to the Stacy Lueck, including its address, specialty, and other relevant details, was last updated on 2008-06-19.

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