NPI 1114359205

Konnie Sue Luczak, RDLD

Practitioner Registered Dietitian Woodbury, MN

Practice location

Address: 237 Radio Dr STE 210, Woodbury, MN 55125-4478
Phone: (612) 871-1145
Fax: (612) 870-5491
Mailing address: 1900 Centracare Cir Centracare Clinic Health Plaza, Saint Cloud, MN 56303-5000

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 3245 (MN)

Other Dietitian, Registered providers in Minnesota →

Registry record

NPI: 1114359205
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Jul 2013
Record last updated: 5 Apr 2022

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.