NPI 1053570515

Luana Tomchak, RD

Practitioner Registered Dietitian Idaho Falls, ID

Practice location

Address: 1957 E 17th St, Idaho Falls, ID 83404-6429
Phone: (208) 529-2352
Fax: (208) 528-3332

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence D-106 (ID)

Other Dietitian, Registered providers in Idaho →

Registry record

NPI: 1053570515
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Jun 2008
Record last updated: 9 Jun 2008

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.