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General NPI Number Information
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NPI Number | 1740105568
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Entity Type | Organization
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Legal Business Name | LACUNA FUNCTIONAL NUTRITION LLC
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Dates
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Enumeration Date | 08/11/2026
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Last Update Date | 08/11/2026
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Provider Practice Location Address
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Address Line | 326 8TH AVE NE APT 5
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City | SAINT PETERSBURG
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State | FL
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Zip | 33701-1948
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Country | US
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Telephone | 716-342-6113
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Fax |
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Provider Business Mailing Address
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Address Line | 326 8TH AVE NE APT 5
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City | SAINT PETERSBURG
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State | FL
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Zip | 33701-1948
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Country | US
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Telephone | 716-342-6113
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Fax |
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Authorized Official
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Title or Position | NUTRITIONIST
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Name | MRS. LINDSAY ANNE SCHIFFHAUER
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Credential | M.S., CNS
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Telephone | 716-342-6113
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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License Number State |
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