Mary Lucca, LICENSE DIETITIAN

NPI #1780917237 in Saint Louis, Missouri

Provider Information

NPI Number: 1780917237
Entity Type: Individual
Name: Mary Lucca, LICENSE DIETITIAN
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nutritionist
Credential: LICENSE DIETITIAN
Enumeration Date: Sep 16, 2009
Last Updated: Sep 16, 2009

Practice Location

Address: 100 N TUCKER BLVD
City: Saint Louis
State: Missouri
ZIP Code: 63101-1931
Phone: (314) 814-8556

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nutritionist	133N00000X	Primary

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