Individual
LUCY NICOLE BERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPH, RD
Contact information
Practice address
1111 16TH AVE SE, MINNEAPOLIS, MN 55414-2411
(954) 649-8050
Mailing address
1111 16TH AVE SE, MINNEAPOLIS, MN 55414-2411
(954) 649-8050
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4451
MN
Other
Enumeration date
06/27/2022
Last updated
06/27/2022
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