Individual provider · Type 1 NPI
Amanda M. Luekenga
Nutrition Education Nutritionist · Salt Lake City, UT
NPI number
1396765822
Active
Practice location
1200 E 3900 S
Salt Lake City, UT 84124-1300
Mailing address
PO Box 271220
Salt Lake City, UT 84127-1220
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nutrition Education Nutritionist Primary | 133NN1002X | 60279274901 (UT) |
Nutrition Education Nutritionist: Definition to come...
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About NPI 1396765822
Amanda M. Luekenga's National Provider Identifier is 1396765822, issued on Jul 20, 2006. The primary taxonomy on file is Nutrition Education Nutritionist (133NN1002X), and the practice location is in Salt Lake City, UT. The record was last updated on Jul 8, 2007.