NPI 1154053387 · live from the CMS NPI Registry
Lucy Nicole Berman, MPH, RD
Dietitian, Registered in Minneapolis, MN. National Provider Identifier 1154053387, active.
NPI record
| NPI | 1154053387 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1111 16th Ave Se, Minneapolis, MN 55414 |
| Practice phone | 954-649-8050 |
| Enumerated | June 27, 2022 |
| Last updated | June 27, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 4451 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.