Provider Demographics
NPI:1679887236
Name:SALUD NUTRITION AND WELLNESS
Entity type:Organization
Organization Name:SALUD NUTRITION AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIETITIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:LIZETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:SANCHEZ-LUGO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, RD, LDN
Authorized Official - Phone:336-288-6440
Mailing Address - Street 1:2006 NEW GARDEN RD
Mailing Address - Street 2:UNIT 201
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-2566
Mailing Address - Country:US
Mailing Address - Phone:336-288-6440
Mailing Address - Fax:336-288-6410
Practice Address - Street 1:2006 NEW GARDEN RD
Practice Address - Street 2:UNIT 201
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-2566
Practice Address - Country:US
Practice Address - Phone:336-288-6440
Practice Address - Fax:336-288-6410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-05
Last Update Date:2011-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL000018133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty