Individual provider · Type 1 NPI

Konnie Sue Luczak, RD, LD

Registered Dietitian · Woodbury, MN

NPI number 1114359205 Active

Practice location

237 Radio Dr Ste 210
Woodbury, MN 55125-4478

Call (612) 871-1145 Map

Fax (612) 870-5491

Mailing address

1900 Centracare Cir, Centracare Clinic Health Plaza
St. Cloud, MN 56303-5000

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000X3245 (MN)

Registered Dietitian: 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 the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1114359205

Konnie Sue Luczak, RD, LD's National Provider Identifier is 1114359205, issued on Jul 31, 2013. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Woodbury, MN. The record was last updated on Apr 5, 2022.