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NPI Code Detail

MEDICARE: EVAN LUKE SCHMIDT RD, LD

MEDICARE: EVAN LUKE SCHMIDT RD, LD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian8102OH

General Provider Information

NPI Number : 1659239523
Entity Type Code : Individual
Provider Name (Legal Business Name) : EVAN LUKE SCHMIDT RD, LD
Provider Business Mailing Address
First Line : 8252 TRAPHAGEN ST NW APT G
Second Line :
City : MASSILLON
State : OH
Zip : 44646-1724
Country : US
Telephone Number : 330-860-0048
Fax Number :
Provider Business Practice Location Address
First Line : 9500 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44195-0001
Country : US
Telephone Number : 330-860-0048
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2026
Last Update Date : 01/12/2026

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