Jordan A Lichthardt

NPI #1619449766 in Los Alamos, New Mexico

Provider Information

NPI Number: 1619449766
Entity Type: Individual
Name: Jordan A Lichthardt
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Enumeration Date: Dec 28, 2018
Last Updated: Dec 28, 2018

Practice Location

Address: 3917 WEST RD STE A
City: Los Alamos
State: New Mexico
ZIP Code: 87544-2292
Phone: (505) 661-8900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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Organizations

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Nutrition Therapy New Mexico LLC	Dietitian, Registered	Los Alamos	AI Deep Dive

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