Luanna Lucas Rivera, RD, LD | |
3391 Lakeside Dr, Davie, FL 33328-1980 | |
(954) 294-6236 | |
Not Available |
Full Name | Luanna Lucas Rivera |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 3391 Lakeside Dr, Davie, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245889849 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 8341 (Florida) | Primary |
Provider Name | Nutrition In Motion |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1548437312 PECOS PAC ID: 7416091996 Enrollment ID: O20200825002307 |
Mailing Address | Practice Location Address |
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Luanna Lucas Rivera, RD, LD 3391 Lakeside Dr, Davie, FL 33328-1980 Ph: (954) 294-6236 | Luanna Lucas Rivera, RD, LD 3391 Lakeside Dr, Davie, FL 33328-1980 Ph: (954) 294-6236 |
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