Provider Demographics
NPI:1518564582
Name:AMBROSI SLEIGHT, LUCIANA (MS RD)
Entity Type:Individual
Prefix:
First Name:LUCIANA
Middle Name:
Last Name:AMBROSI SLEIGHT
Suffix:
Gender:F
Credentials:MS RD
Other - Prefix:
Other - First Name:LUCIANA
Other - Middle Name:
Other - Last Name:AMBROSI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS RD
Mailing Address - Street 1:2 INVERNESS LN
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360-3176
Mailing Address - Country:US
Mailing Address - Phone:617-982-2338
Mailing Address - Fax:
Practice Address - Street 1:SANTA CRUZ
Practice Address - Street 2:
Practice Address - City:RADA TILLY
Practice Address - State:CHUBUT
Practice Address - Zip Code:09001
Practice Address - Country:AR
Practice Address - Phone:617-982-2339
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-02
Last Update Date:2020-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered