Provider Demographics
NPI:1255204574
Name:LAIR, STEPHANIE NADEJDA (RD)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:NADEJDA
Last Name:LAIR
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 S ELLIOTT RD APT 356
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-2631
Mailing Address - Country:US
Mailing Address - Phone:407-633-2534
Mailing Address - Fax:
Practice Address - Street 1:625 S ELLIOTT RD APT 356
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-2631
Practice Address - Country:US
Practice Address - Phone:407-633-2534
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-24
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered