Provider Demographics
NPI:1003352642
Name:BEST, LISA (MBA, PHD, RD, LDN)
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:
Last Name:BEST
Suffix:
Gender:F
Credentials:MBA, PHD, RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6709 NEW SHARON CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:ROUGEMONT
Mailing Address - State:NC
Mailing Address - Zip Code:27572-8445
Mailing Address - Country:US
Mailing Address - Phone:919-732-4035
Mailing Address - Fax:
Practice Address - Street 1:147 W KING ST
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NC
Practice Address - Zip Code:27278-2543
Practice Address - Country:US
Practice Address - Phone:919-812-5460
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-06
Last Update Date:2017-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL005065133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered