Individual
AMY ELIZABETH LUKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1200 N VEITCH ST APT 530, ARLINGTON, VA 22201-5824
(201) 803-5523
Mailing address
1200 N VEITCH ST APT 530, ARLINGTON, VA 22201-5824
(201) 803-5523
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
DI100000748
DC
133V00000X
Registered Dietitian
Primary
DX4607
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C66061922
PRIVATE
VA
Enumeration date
02/15/2020
Last updated
02/15/2020
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