Luna Nutrition

NPI #1811754385 in Fairview Heights, Illinois

Provider Information

NPI Number: 1811754385
Entity Type: Organization
Organization Name: Luna Nutrition
Primary Specialty: Nutritionist
Enumeration Date: Mar 1, 2024
Last Updated: Mar 1, 2024

Practice Location

Address: 10850 LINCOLN TRAIL
Address 2: STE 16, #248
City: Fairview Heights
State: Illinois
ZIP Code: 62208
Phone: (615) 579-2435

Authorized Official

Name: AMY KNOX, CNS
Title: OWNER
Phone: (615) 579-2435

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nutritionist	133N00000X	Primary

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