Organization
LOKAHI NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE BASAK RD, LD (REGISTERED DIETITIAN)
(813) 815-0901
Entity
Organization
Contact information
Practice address
24829 VINTAGE CT, LUTZ, FL 33559-7401
(813) 815-0901
Mailing address
24829 VINTAGE CT, LUTZ, FL 33559-7401
(813) 815-0901
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/26/2020
Last updated
07/16/2024
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