Lee Liguore, RD
Individual provider Active NPI Registered Dietitian · Pigeon Forge, TN
NPI 1285288563 · NPPES record last updated Jul 25, 2019
Key facts
- NPI
- 1285288563
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- Practice address
- 3604 Householder St Apt 312
Pigeon Forge, TN 37863-3437 - Phone
- (330) 774-3855
- NPI assigned
- Jul 25, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Yes |
Addresses
Primary practice location
3604 Householder St Apt 312
Pigeon Forge, TN 37863-3437
Mailing address
3604 Householder St Apt 312
Pigeon Forge, TN 37863-3437
Phone (330) 774-3855
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1039440 | Other | VA | RD |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | location |
Other providers in Pigeon Forge, TN
- K -VA -T Food Stores Inc
- Keith E. Whaley O.D.
- Rita K. King
- Kroger Limited Partnership I
- Wanda A. Lancaster
- Travis Loveday
- LP Pigeon Forge LLC
- Marvin T Manning
- Rebekah Marshall
- John D Mayberry
All providers in Pigeon Forge, TN · Registered Dietitian in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.