Provider Demographics
NPI:1881371755
Name:PARADISO, LUCY (CD, CPPD, CLC, RP)
Entity type:Individual
Prefix:
First Name:LUCY
Middle Name:
Last Name:PARADISO
Suffix:
Gender:F
Credentials:CD, CPPD, CLC, RP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2037 ARROWWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SCOTCH PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07076-4729
Mailing Address - Country:US
Mailing Address - Phone:908-305-0785
Mailing Address - Fax:
Practice Address - Street 1:2037 ARROWWOOD DR
Practice Address - Street 2:
Practice Address - City:SCOTCH PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07076-4729
Practice Address - Country:US
Practice Address - Phone:908-305-0785
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-30
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN
No374J00000XNursing Service Related ProvidersDoula
No174H00000XOther Service ProvidersHealth Educator