Lucille Wilczynski Cole, LICENSED DIETITIAN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

37000462A Issued in IN

Practice address

761 45TH Ave
Ste. 110
Munster, IN 46321-2893

Phone

(219) 922-3020

Fax

(219) 922-3023

NPI assigned

Jun 5, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442534400000",
    "number": "1366481517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 45TH STREET",
            "address_2": "110",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212893",
            "telephone_number": "219-922-3020",
            "fax_number": "219-922-3023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 45TH AVE",
            "address_2": "STE. 110",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212893",
            "telephone_number": "219-922-3020",
            "fax_number": "219-922-3023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "LUCILLE",
        "middle_name": "WILCZYNSKI",
        "credential": "LICENSED DIETITIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2015-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IN",
            "license": "37000462A",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164-003231",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cogent Health
• Veronica Marie Cohen, MPT, CWS
• Demetris Yvette Cole, MSW, LCSW
• Destanee Cole
• Kathleen Lynn Cole, NP
• Quintin Cole, P.T.
• Savannah Coleman
• Taylor Drake Coleman I, MD
• Murriah Collier
• Sandricka N Collier, D.O.

• Registered Dietitian in Munster, IN
• Providers in Munster, IN by specialty
• Registered Dietitian in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.