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Organization

LUMINARY NUTRITION LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELORA BAZANELE MS, RD, LD (OWNER)
(972) 926-3683
Entity
Organization

Contact information

Practice address
4965 PRESTON PARK BLVD STE 700, PLANO, TX 75093-5141
(972) 926-3683
(972) 920-6765
Mailing address
4965 PRESTON PARK BLVD STE 700, PLANO, TX 75093-5141
(972) 926-3683
(972) 920-6765

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
04/08/2019
Last updated
05/28/2026
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