Individual
LUKE RAYMOND BOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, RDN, ACSM EP-C
Contact information
Practice address
12515 GRAVELLY LAKE DR SW, LAKEWOOD, WA 98499-1423
(253) 495-8191
Mailing address
12515 GRAVELLY LAKE DR SW, LAKEWOOD, WA 98499-1423
(253) 495-8191
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
WA
Other
Enumeration date
03/09/2026
Last updated
03/09/2026
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