| NPI | 1679887236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZETTE SANCHEZ-LUGO Dietitian 336-288-6440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L000018) |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2011-04-21 |