Healthcare Provider Details

I. General information

NPI: 1003352642
Provider Name (Legal Business Name): LISA BEST MBA, PHD, RD, LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/06/2017
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6709 NEW SHARON CHURCH RD
ROUGEMONT NC
27572-8445
US

IV. Provider business mailing address

6709 NEW SHARON CHURCH RD
ROUGEMONT NC
27572-8445
US

V. Phone/Fax

Practice location:
  • Phone: 919-812-5460
  • Fax:
Mailing address:
  • Phone: 919-812-5460
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberL005065
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: