Individual
MS. JEANNE LUETKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
825 GRAND AVE, SUITE 201, GLENWOOD SPRINGS, CO 81601-3403
(970) 309-0784
(866) 335-0877
Mailing address
PO BOX 622, GLENWOOD SPRINGS, CO 81602-0622
(970) 309-0784
(866) 335-0877
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00726643
AMERICAN DIETETIC ASSOC / COMMISSION ON DIETETIC REGISTRATION
—
Enumeration date
08/10/2010
Last updated
08/10/2010
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