Individual
DR. LORNA CAROLYN HYLLEDIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D,R.D, L.D
Contact information
Practice address
463 SW SUNDANCE TRL, PORT ST LUCIE, FL 34953-8219
(770) 331-4955
Mailing address
463 SW SUNDANCE TRL, PORT ST LUCIE, FL 34953-8219
(770) 331-4955
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND8718
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11214069
CAQH PROVIDER ID
—
01
—
1740239409
NPI
—
01
—
1LKAN
FLORIDA BLUE
FL
01
—
QC596
MEDICARE
FL
Enumeration date
05/09/2006
Last updated
02/07/2023
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