Individual
MRS. LUCILLE ROSE LUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
25301 PICO VISTA WAY, MORENO VALLEY, CA 92557-5222
(815) 994-6795
Mailing address
8008 4A STREET NE, CALGARY, ALBERTA T2K 5-W8
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86038485
COMMISSION ON DIETETIC REGISTRATION
—
Enumeration date
04/07/2020
Last updated
04/07/2020
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