Provider Demographics
NPI:1386520732
Name:LULO NUTRITION, LLC
Entity type:Organization
Organization Name:LULO NUTRITION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIEITIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:LIZENIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PAZMIN
Authorized Official - Suffix:
Authorized Official - Credentials:RDN
Authorized Official - Phone:864-905-2925
Mailing Address - Street 1:628 N ILLINOIS ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22205-1140
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:628 N ILLINOIS ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22205-1140
Practice Address - Country:US
Practice Address - Phone:864-905-2925
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, MetabolicGroup - Single Specialty