Jordan A Lichthardt
Jordan A Lichthardt is a Registered Dietitian in Los Alamos, New Mexico. Licensed in New Mexico. Registered with an NPI since 2018.
- Licensed in
- NM
- In the registry since
- 2018
Practice location Address checks out
3917 W Rd Ste ALos Alamos, NM 87544-2292
Phone: (505) 661-8900
Fax: (505) 661-8916
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Specialties & licences
| Registered Dietitian (primary) | Taxonomy 133V00000X · Licence LD-1195 (NM) |
|---|
Record details
| NPI number | 1619449766 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 28, 2018 |
| Last updated in NPPES | December 28, 2018 |
| Mailing address | 3917 West Rd Ste A, Los Alamos, NM 87544-2292 |
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