LG NUTRITION LLC NPI 1164857231

NPI Information

  • NPI: 1164857231
  • Provider Name: LG NUTRITION LLC
  • Classification: Dietitian, Registered - 133V00000X
  • Entity Type: Organization
  • Doing Business As: SUMMERFIELD CUSTOM WELLNESS
  • Address: 1209 MARKET ST
    SUITE J
    WILMINGTON, NC
    ZIP 28401
  • Phone: (910) 663-5166

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NPI Details

LG NUTRITION LLC is a dietitian registered in Wilmington, NC. The provider is a Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation. LG NUTRITION LLC NPI is 1164857231. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Summerfield Custom Wellness.

The provider's business location address is:

1209 MARKET ST
SUITE J
WILMINGTON, NC
ZIP 28401-345
Phone: (910) 663-5166

The provider's authorized official is Laura Renee Greenhow Bransfield .
The authorized official title is Owner and has the following contact phone number (910) 663-5166.

The enumeration date for this NPI number is 9/9/2013 and was last updated on 4/27/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1133V00000XDietitian, RegisteredL004173NORTH CAROLINAYes

What is NPI?

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This page was last updated on: 3/30/2025

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