Individual
MEREDITH GIANA LUCZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
27 S MARIO CAPECCHI DR, SALT LAKE CITY, UT 84112-5888
(801) 698-2987
Mailing address
3004 S IMPERIAL ST, SALT LAKE CITY, UT 84106-3738
(801) 698-2987
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
UT
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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