Provider Demographics
NPI:1861816100
Name:DUKOWSKI, JANET (RDN, LDN)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:DUKOWSKI
Suffix:
Gender:F
Credentials:RDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3817 PARK SOUTH STATION BLVD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210-4494
Mailing Address - Country:US
Mailing Address - Phone:980-255-0648
Mailing Address - Fax:
Practice Address - Street 1:3817 PARK SOUTH STATION BLVD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28210-4494
Practice Address - Country:US
Practice Address - Phone:980-255-0648
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-06
Last Update Date:2023-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL004335133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered