Organization
LUKES DIETITIANS
Active
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
Update your record
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