Provider Demographics
NPI:1427839968
Name:PERASSO, LUCIANA WUO (MS, RDN, LDN)
Entity type:Individual
Prefix:MS
First Name:LUCIANA
Middle Name:WUO
Last Name:PERASSO
Suffix:
Gender:F
Credentials:MS, RDN, LDN
Other - Prefix:
Other - First Name:LUCIANA
Other - Middle Name:WUO
Other - Last Name:PERASSO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LUCIANA PERASSO, MS
Mailing Address - Street 1:2901 NW 126TH AVE APT 2-321
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33323-6325
Mailing Address - Country:US
Mailing Address - Phone:954-605-3119
Mailing Address - Fax:
Practice Address - Street 1:2901 NW 126TH AVE APT 2-321
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33323-6325
Practice Address - Country:US
Practice Address - Phone:954-605-3119
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-10
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL86132075133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered