Individual
LUCENA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., L.D.N.
Contact information
Practice address
3333 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-3013
(336) 718-6043
(336) 277-1670
Mailing address
2085 FRONTIS PLAZA BLVD, WINSTON SALEM, NC 27103-5614
(336) 718-6043
(336) 277-1670
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L001344
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P88691
UPIN
NC
Enumeration date
04/12/2012
Last updated
04/12/2012
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