Provider Demographics
NPI:1750147567
Name:PAZMIN, LIZENIA (RDN)
Entity type:Individual
Prefix:
First Name:LIZENIA
Middle Name:
Last Name:PAZMIN
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 S VERMILLION AVE UNIT 90
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78521-8552
Mailing Address - Country:US
Mailing Address - Phone:864-905-2925
Mailing Address - Fax:
Practice Address - Street 1:GOLDSMITH 330
Practice Address - Street 2:APT 301
Practice Address - City:POLANCO
Practice Address - State:MEXICO
Practice Address - Zip Code:11550
Practice Address - Country:MX
Practice Address - Phone:864-905-2925
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-28
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered