Individual
LYDIA ASEGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
9216 BAILEYWICK RD, RALEIGH, NC 27615-1907
(919) 215-3583
Mailing address
5622 DARROW DR, RALEIGH, NC 27612-2523
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86097049
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86097049
COMMISSION ON DIETETIC REGISTRATION (CDR) I.D. NUMBER
—
Enumeration date
11/14/2022
Last updated
03/25/2025
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