Doctor Name: | MS. THERESE LUKASZESKI MOORE |
NPI Number: | 1477859767 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, LD, CDE |
License Number: | 364 |
Business Practice Address: | 1325 Spring St Greenwood, SC - 29646 |
Business Phone Number: | 8647255753 |
Business Fax Number: | 8647254125 |
Mailing Address: | 1325 Spring St, GREENWOOD |
State: | SC |
Postal Code: | 29646 |
Phone Number: | 8647255053 |
Fax Number: | 8647255113 |
NPI Enumeration Date: | 02/03/2011 |
NPI Last Update Date: | 02/03/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 364 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |