NPI 1942854419 · live from the CMS NPI Registry
Luke David Beck, RD, LD
Dietitian, Registered in Idaho Falls, ID. National Provider Identifier 1942854419, active.
NPI record
| NPI | 1942854419 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 2325 Coronado St., Idaho Falls, ID 83404 |
| Practice phone | 208-542-7030 |
| Mailing address | 432 N 2800 E, Roberts, ID 83444 |
| Enumerated | August 1, 2019 |
| Last updated | August 1, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | D-1136 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.