NPI 1003271727

Laura Luczkiw

Practitioner Registered Dietitian Corvallis, OR

Practice location

Address: 3680 NW Samaritan Dr, Corvallis, OR 97330-3737
Phone: (541) 754-1150
Mailing address: 444 NW Elks Dr, Corvallis, OR 97330-3745

Registered specialties (2)

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 10202533 (OR)

Other Dietitian, Registered providers in Oregon →

Registered Dietitian

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 10173907 (OR)

Registry record

NPI: 1003271727
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Dec 2015
Record last updated: 3 Dec 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.