Individual
MRS. ELISSA RUTH LUECKEMEYER
Active
Individual
MRS. ELISSA RUTH LUECKEMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT81691
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DT81691
LD
TX
Enumeration date
03/03/2011
Last updated
10/03/2025
Update your record
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