1427839968 NPI number — MS. LUCIANA WUO PERASSO MS, RDN, LDN

Table of content: MS. LUCIANA WUO PERASSO MS, RDN, LDN (NPI 1427839968)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427839968 NPI number — MS. LUCIANA WUO PERASSO MS, RDN, LDN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PERASSO
Provider First Name:
LUCIANA
Provider Middle Name:
WUO
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MS, RDN, LDN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
PERASSO
Provider Other First Name:
LUCIANA
Provider Other Middle Name:
WUO
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
LUCIANA PERASSO, MS
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1427839968
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/10/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2901 NW 126TH AVE APT 2-321
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SUNRISE
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33323-6325
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
954-605-3119
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2901 NW 126TH AVE APT 2-321
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SUNRISE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33323-6325
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
954-605-3119
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/10/2023

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 133V00000X , with the licence number:  86132075 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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