Andrea B Lachiusa
Dietitian, Registered in Saint Johns, FL. Individual provider (NPI-1).
NPI number1790645752
StatusActive
Last updated in NPPESNov 13, 2025
Details
- NPI
- 1790645752
- Entity type
- Individual (NPI-1)
- Name
- Andrea B Lachiusa
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 13, 2025
- Certification date
- Nov 13, 2025
- Last updated
- Nov 13, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | ND5595 | FL | Yes |
Practice location
413 Bridgeview TerSaint Johns, FL 32259-7937
Phone 954-703-0457
Mailing address
413 Bridgeview TerSaint Johns, FL 32259-7937
Phone 954-703-0457
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Other Registered Dietitian providers in Saint Johns, FL
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