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Contact Information

AMANDA M LUEKENGA
1200 E 3900 S
SALT LAKE CITY, UT84124-1300
 Phone: 801-268-7860
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nutrition, Education

133NN1002X
Indicates primary specialty

NPI Profile & details for AMANDA M LUEKENGA · (Female)

NPI # 1396765822
Status Active
Credentials
Entity Individual
Enumeration date 07/20/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 60279274901
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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