Individual
MS. THERESE LUKASZESKI MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD, CDE
Contact information
Practice address
1325 SPRING ST, GREENWOOD, SC 29646
(864) 725-5753
(864) 725-4125
Mailing address
1325 SPRING ST, GREENWOOD, SC 29646
(864) 725-5053
(864) 725-5113
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
364
SC
Other
Enumeration date
02/03/2011
Last updated
02/03/2011
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