Provider Demographics
NPI:1194551705
Name:PATE, LUCINDA (RDN)
Entity type:Individual
Prefix:
First Name:LUCINDA
Middle Name:
Last Name:PATE
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1246 GOLDFINCH DR APT C
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22802-4925
Mailing Address - Country:US
Mailing Address - Phone:540-422-1572
Mailing Address - Fax:
Practice Address - Street 1:731 E MARKET ST STE C
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-4270
Practice Address - Country:US
Practice Address - Phone:540-422-1572
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-10
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered