| Samantha Lalush Nutrition Llc | |
|
1022 Mill St, San Luis Obispo, CA 93401-2784 | |
| (805) 242-6417 | |
| (805) 249-1915 |
| Full Name | Samantha Lalush Nutrition Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 1022 Mill St, San Luis Obispo, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124719224 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | Samantha Lalush |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1770889735 PECOS PAC ID: 3779879432 Enrollment ID: I20160906001350 |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Lalush Nutrition Llc 1022 Mill St, San Luis Obispo, CA 93401-2784 Ph: (805) 242-6417 | Samantha Lalush Nutrition Llc 1022 Mill St, San Luis Obispo, CA 93401-2784 Ph: (805) 242-6417 |
Kaitlin Gibbons, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 204 Daly Ave, San Luis Obispo, CA 93405 Phone: 209-484-2836 |
Lauren Hogan, MS, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 2933 Augusta St Apt 7, San Luis Obispo, CA 93401 Phone: 408-761-6802 |
Mrs. Elizabeth Parker, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1360 Laurel Ln Apt 8, San Luis Obispo, CA 93401 Phone: 805-801-1321 |
Leah M Tanner, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 84 Santa Rosa St, Suite A, San Luis Obispo, CA 93405 Phone: 805-548-8585 Fax: 805-548-8589 |
Mrs. Sandra Nickole Miller, RD,CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1911 Johnson Ave, San Luis Obispo, CA 93401 Phone: 805-542-6229 |
Courtney Kay Kinder, MS, RDN, IFNCP Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1264 Higuera St Ste 102, San Luis Obispo, CA 93401 Phone: 805-439-4706 |
Leslie Richards, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1318 Johnson Ave, San Luis Obispo, CA 93401 Phone: 805-541-2300 Fax: 805-541-2301 |