Individual
ALLISON LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LN, CDE
Contact information
Practice address
2501 W 22ND ST, SIOUX FALLS, SD 57105
(605) 336-3230
Mailing address
2501 W 22ND ST, SIOUX FALLS, SD 57105-1305
(605) 336-3230
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
002057
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144
STATE OF NEBRASKA
NE
Enumeration date
11/07/2012
Last updated
05/15/2018
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