LCD Nutrition LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

LCD NUTRITION LLC

Practice address

2190 S Lake St Apt 11
Salt Lake City, UT 84106-5807

Phone

(847) 431-8294

NPI assigned

Dec 17, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Laura Dziubyk, RDNPI 1659973311

Title

Owner

Phone

(847) 431-8294

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laura Catherine Dziubyk, RD

  • Registered Dietitian
  • Salt Lake City, UT
  • NPI 1659973311

  Dietitian, Registered

  Medicare reassignment NPD Authorized official
• Loren Psalidas, RDN

  • Registered Dietitian
  • Cottonwood Heights, UT
  • NPI 1437688355

  Dietitian, Registered

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1734393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1639986219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7533 S CENTER VIEW CT STE R",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840845526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2190 S LAKE ST APT 11",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841065807",
            "telephone_number": "847-431-8294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LCD NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-17",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "DZIUBYK",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-431-8294",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paisley Dee Lazarakis
• Kalvin Lazarte
• Sheila P Lazcano Meraz, CSW
• Ann L Lazerus, LPC
• LC Dental Care LLC
• LCR Dental Murray LL
• LCR Dental Rose Park LLC
• LCR Dental Sugar House
• LDS Family Services
• William Reed Cone Le Beaumont

• Registered Dietitian in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Registered Dietitian in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.