Individual
KONNIE SUE LUCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
237 RADIO DR STE 210, WOODBURY, MN 55125-4478
(612) 871-1145
(612) 870-5491
Mailing address
1900 CENTRACARE CIR, CENTRACARE CLINIC HEALTH PLAZA, SAINT CLOUD, MN 56303-5000
(320) 229-4916
(320) 229-5174
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3245
MN
Other
Enumeration date
07/31/2013
Last updated
04/05/2022
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