Provider Demographics
NPI:1073098828
Name:NAZARANI, LUBNA (MS, NNCP)
Entity Type:Individual
Prefix:
First Name:LUBNA
Middle Name:
Last Name:NAZARANI
Suffix:
Gender:F
Credentials:MS, NNCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 WELLER CRESCENT
Mailing Address - Street 2:
Mailing Address - City:PETERBOROUGH
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:K9J 6J5
Mailing Address - Country:CM
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6 WELLER CRESCENT
Practice Address - Street 2:
Practice Address - City:PETERBOROUGH
Practice Address - State:ONTARIO
Practice Address - Zip Code:K9J 6J5
Practice Address - Country:CM
Practice Address - Phone:713-480-7613
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-27
Last Update Date:2018-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist