Liza Jo Locklear in Green Bay - Dietitian, Registered
Liza Jo Locklear - NPI 1932388212
Liza Jo Locklear is a Dietitian, Registered in Green Bay, Wisconsin. Liza Jo Locklear practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Liza Jo Locklear is 1932388212. The last update date is 2021-02-10.
Liza Jo Locklear's current location address is Po Box 22487, Green Bay, Wisconsin. You can contact this provider via phone number 9204457222 and fax number 9204457289. The mailing address for Liza Jo Locklear is Po Box 22487, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Liza Jo Locklear |
|---|---|
| Address | Po Box 22487, Green Bay, Wisconsin |
| Phone Number | 9204457222 |
| Fax Number | 9204457289 |
| Sole Proprietor | N |
| Credentials | RD CD CDE |
NPI Number Detail
| NPI Number | 1932388212 |
|---|---|
| Provider Enumeration Date | 2007-11-02 |
| Last Updated Date | 2021-02-10 |
Provider Mailing Address Detail
| Address | Po Box 22487 |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543052487 |
| Phone Number | 9204457222 |
| Fax Number | 9204457289 |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
| Licence No | 1610-29 |
|
Definition: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 886243 | COMMISSION ON DIETETIC REGISTR | ||
| 21900466 | NATIONAL CERTIFICATION BOARD F |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Liza Jo Locklear by the Centers for Medicare & Medicaid Services?
The Liza Jo Locklear has been issued the NPI (National Provider Identifier) 1932388212 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Liza Jo Locklear is located?
The Liza Jo Locklear is situated at the following address: Po Box 22487, Green Bay, WI, 543052487.
What is Liza Jo Locklear's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Liza Jo Locklear is Dietitian, Registered, and the taxonomy classification code that categorizes this area of expertise is 133V00000X.
When was the Liza Jo Locklear's 1932388212 issued?
The Liza Jo Locklear's 1932388212 was issued on 2007-11-02.
When was the information pertaining to Liza Jo Locklear most recently updated or revised?
The details related to Liza Jo Locklear, including its address, specialty, and other relevant information, were last updated or revised on 2021-02-10.
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