Individual
SAM LUCAS SCARDIGLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, RD
Contact information
Practice address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2736
(320) 240-2828
Mailing address
512 177TH AVE NW, ANDOVER, MN 55304-1539
(763) 568-8899
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/23/2020
Last updated
01/11/2021
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