Individual
MS. AMANDA LUNGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.N., C.D.
Contact information
Practice address
2505 NE 165TH ST, SHORELINE, WA 98155-6126
(702) 612-6928
Mailing address
2505 NE 165TH ST, SHORELINE, WA 98155-6126
(702) 612-6928
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
60686510
WA
Other
Enumeration date
09/06/2016
Last updated
10/05/2018
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