Provider Demographics
NPI:1659648178
Name:SANCHEZ-LUGO, LIZETTE (PHD, RD)
Entity Type:Individual
Prefix:DR
First Name:LIZETTE
Middle Name:
Last Name:SANCHEZ-LUGO
Suffix:
Gender:F
Credentials:PHD, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2006 NEW GARDEN RD
Mailing Address - Street 2:UNIT 201
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-2566
Mailing Address - Country:US
Mailing Address - Phone:336-288-6440
Mailing Address - Fax:336-288-6410
Practice Address - Street 1:2006 NEW GARDEN RD
Practice Address - Street 2:UNIT 201
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-2566
Practice Address - Country:US
Practice Address - Phone:336-288-6440
Practice Address - Fax:336-288-6410
Is Sole Proprietor?:No
Enumeration Date:2011-11-29
Last Update Date:2011-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL000018133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered