Individual
EMILY LUKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CSP, LD
Contact information
Practice address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 820-9845
Mailing address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 820-9845
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
DT07445
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181393301
—
TX
Enumeration date
11/25/2015
Last updated
11/25/2015
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