Provider Demographics
NPI:1013480821
Name:LK NUTRITION PLLC
Entity Type:Organization
Organization Name:LK NUTRITION PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDSAY
Authorized Official - Middle Name:
Authorized Official - Last Name:KRASNA
Authorized Official - Suffix:
Authorized Official - Credentials:RD, CEDRD-S, CDN
Authorized Official - Phone:267-577-8243
Mailing Address - Street 1:808 UNION ST STE 3A
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-1386
Mailing Address - Country:US
Mailing Address - Phone:267-577-8243
Mailing Address - Fax:395-871-8228
Practice Address - Street 1:808 UNION ST STE 3A
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-1386
Practice Address - Country:US
Practice Address - Phone:267-577-8243
Practice Address - Fax:718-228-3958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-03
Last Update Date:2019-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty