Lisa Kay Deangelo, RD is a
Dietitian, Registered based in Tazewell, Virginia. Lisa Kay Deangelo is licensed to practice in NU (license number 948481) and her current practice location is
388 Ben Bolt Ave, Tazewell, Virginia. She can be reached at her office (for appointments etc.) via phone at
(276) 202-5079.
NPI number for Lisa Kay Deangelo is 1356129571 and her current mailing address is 140 Sayers St, Cedar Bluff, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1356129571.
Healthcare Provider's Profile
| Full Name | Lisa Kay Deangelo |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 388 Ben Bolt Ave, Tazewell, Virginia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1356129571
- Provider Enumeration Date: 09/19/2023
- Last Update Date: 09/19/2023
Medical Identifiers
Medical identifiers for Lisa Kay Deangelo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1356129571 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | 948481 (NU) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa Kay Deangelo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Lisa Kay Deangelo, RD 140 Sayers St, Cedar Bluff, VA 24609-9358 Ph: (276) 385-8348 | Lisa Kay Deangelo, RD 388 Ben Bolt Ave, Tazewell, VA 24651-5386 Ph: (276) 202-5079 |
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