Doctor Name: | LUCENA MILLER |
NPI Number: | 1124385414 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D., L.D.N. |
License Number: | L001344 |
Business Practice Address: | 3333 Silas Creek Pkwy Winston Salem, NC - 271033013 |
Business Phone Number: | 3367186043 |
Business Fax Number: | 3362771670 |
Mailing Address: | 2085 Frontis Plaza Blvd, WINSTON SALEM |
State: | NC |
Postal Code: | 271035614 |
Phone Number: | 3367186043 |
Fax Number: | 3362771670 |
NPI Enumeration Date: | 04/12/2012 |
NPI Last Update Date: | 04/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | L001344 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |