Individual
LUANNA LUCAS RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
3391 LAKESIDE DR, DAVIE, FL 33328-1980
(954) 294-6236
Mailing address
3391 LAKESIDE DR, DAVIE, FL 33328-1980
(954) 294-6236
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
8341
FL
Other
Enumeration date
09/05/2019
Last updated
09/10/2019
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