Doctor Name: | SAMANTHA RIDER LALUSH |
NPI Number: | 1770889735 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | 00993722 |
Business Practice Address: | 210 S Palisade Dr Suite 200 Santa Maria, CA - 934548901 |
Business Phone Number: | 8057393227 |
Business Fax Number: | |
Mailing Address: | 210 S Palisade Dr, Suite 200 SANTA MARIA |
State: | CA |
Postal Code: | 934548901 |
Phone Number: | 8057393227 |
Fax Number: | |
NPI Enumeration Date: | 02/08/2011 |
NPI Last Update Date: | 04/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 00993722 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |