Individual
LUGENIA GRIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCE, CD, CPYI, HE II
Contact information
Practice address
9328 AMY DR, CHARLOTTE, NC 28213-3765
(704) 904-4433
(704) 384-8013
Mailing address
9328 AMY DR, CHARLOTTE, NC 28213-3765
(704) 904-4433
(704) 384-8013
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
—
374J00000X
Doula
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
90-0143206
TAX ID
NC
Enumeration date
09/15/2010
Last updated
09/27/2010
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