Organization
LCD NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA DZIUBYK RD (OWNER)
(847) 431-8294
Entity
Organization
Contact information
Practice address
2190 S LAKE ST APT 11, SALT LAKE CITY, UT 84106-5807
(847) 431-8294
Mailing address
7533 S CENTER VIEW CT STE R, WEST JORDAN, UT 84084-5526
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
133VN1004X
Pediatric Nutrition Registered Dietitian
—
—
Other
Enumeration date
12/17/2024
Last updated
12/17/2024
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