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Organization

LUKES DIETITIANS

Active
Other names
Food Pharmacy RD
Organization subpart
No

Provider details

NPI number
Authorized official
LUKE LUCAS (OWNER)
(909) 273-9444
Entity
Organization

Contact information

Practice address
5030 E 2ND ST STE 200A, LONG BEACH, CA 90803-5349
(909) 273-9444
Mailing address
5030 E 2ND ST STE 200A, LONG BEACH, CA 90803-5349
(909) 273-9444

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
363A00000X
Physician Assistant
Primary
363AM0700X
Medical Physician Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1659827806
DIETITIAN NPI
Enumeration date
12/11/2019
Last updated
01/20/2026
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