Organization
LG NUTRITION LLC
Active
Other names
Summerfield Custom Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA RENEE GREENHOW BRANSFIELD (OWNER)
(910) 663-5166
Entity
Organization
Contact information
Practice address
1209 MARKET ST, SUITE J, WILMINGTON, NC 28401-4345
(910) 663-5166
Mailing address
8801 FAST PARK DR STE 213, RALEIGH, NC 27617-4853
(919) 442-8398
(888) 856-3502
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L004173
NC
Other
Enumeration date
09/09/2013
Last updated
04/27/2021
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