Lisa Kim Deguzman, RD CDN is a
Dietitian, Registered based in Wallkill, New York. Lisa Kim Deguzman is licensed to practice in * (Not Available) (license number ) and her current practice location is
38 Madison Ct, Wallkill, New York. She can be reached at her office (for appointments etc.) via phone at
(845) 527-5014.
NPI number for Lisa Kim Deguzman is 1013618842 and her current mailing address is 38 Madison Ct, Wallkill, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013618842.
Healthcare Provider's Profile
| Full Name | Lisa Kim Deguzman |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 38 Madison Ct, Wallkill, New York |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1013618842
- Provider Enumeration Date: 03/17/2023
- Last Update Date: 03/17/2023
Medical Identifiers
Medical identifiers for Lisa Kim Deguzman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013618842 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | 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 Kim Deguzman 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 Kim Deguzman, RD CDN
38 Madison Ct,
Wallkill, NY 12589-3006
Ph: (845) 527-5014 | Lisa Kim Deguzman, RD CDN
38 Madison Ct,
Wallkill, NY 12589-3006
Ph: (845) 527-5014 |
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