Samantha Rider Lalush, RD | |
1022 Mill St, San Luis Obispo, CA 93401-2784 | |
(805) 242-6417 | |
(805) 540-5898 |
Full Name | Samantha Rider Lalush |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 1022 Mill St, San Luis Obispo, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1770889735 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 00993722 (California) | Primary |
Provider Name | Samantha Lalush Nutrition Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1124719224 PECOS PAC ID: 5193189355 Enrollment ID: O20230907000676 |
Mailing Address | Practice Location Address |
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Samantha Rider Lalush, RD 1591 Royal Way, San Luis Obispo, CA 93405-6331 Ph: (805) 215-6572 | Samantha Rider Lalush, RD 1022 Mill St, San Luis Obispo, CA 93401-2784 Ph: (805) 242-6417 |
Mrs. Elizabeth Parker, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1360 Laurel Ln Apt 8, San Luis Obispo, CA 93401 Phone: 805-801-1321 | |
Leah M Tanner, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 84 Santa Rosa St, Suite A, San Luis Obispo, CA 93405 Phone: 805-548-8585 Fax: 805-548-8589 | |
Samantha Lalush Nutrition Llc Dietitian Medicare: Medicare Enrolled Practice Location: 1022 Mill St, San Luis Obispo, CA 93401 Phone: 805-242-6417 Fax: 805-249-1915 | |
Mrs. Sandra Nickole Miller, RD,CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1911 Johnson Ave, San Luis Obispo, CA 93401 Phone: 805-542-6229 | |
Courtney Kay Kinder, MS, RDN, IFNCP Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1264 Higuera St Ste 102, San Luis Obispo, CA 93401 Phone: 805-439-4706 | |
Leslie Richards, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1318 Johnson Ave, San Luis Obispo, CA 93401 Phone: 805-541-2300 Fax: 805-541-2301 | |
Susan Ann Gollnick, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 253 Granada Dr, San Luis Obispo, CA 93401 Phone: 805-543-2244 Fax: 805-543-2224 |