Lisa Anne Wyckoff in Crystal River - Nutrition, Renal
Lisa Anne Wyckoff - NPI 1396890273
Lisa Anne Wyckoff is a Nutrition, Renal in Crystal River, Florida. Lisa Anne Wyckoff practices all healthcare services and medical treatments related to Nutrition, Renal. The NPI Number for Lisa Anne Wyckoff is 1396890273. The last update date is 2007-07-08.
Lisa Anne Wyckoff's current location address is 7415 W Gulf To Lake Hwy, Crystal River, Florida. You can contact this provider via phone number 3527951415 and fax number 3525640147. The mailing address for Lisa Anne Wyckoff is 7415 W Gulf To Lake Hwy, Crystal River, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Anne Wyckoff |
|---|---|
| Address | 7415 W Gulf To Lake Hwy, Crystal River, Florida |
| Phone Number | 3527951415 |
| Fax Number | 3525640147 |
| Sole Proprietor | Y |
| Credentials | RD, CSR, L |
NPI Number Detail
| NPI Number | 1396890273 |
|---|---|
| Provider Enumeration Date | 2007-01-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7415 W Gulf To Lake Hwy |
|---|---|
| City | Crystal River |
| State | Florida (FL) |
| Post Code | 344297834 |
| Phone Number | 3527951415 |
| Fax Number | 3525640147 |
Provider's Primary Taxonomy Detail
| Speciality | Nutrition, Renal |
|---|---|
| Taxonomy | 133Vn1005X |
| Licence No | ND2626 |
|
Definition: An individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies (dialysis/transpl |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00025278 | FL | MEDICARE RAILROAD |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Lisa Anne Wyckoff by the Centers for Medicare & Medicaid Services?
The Lisa Anne Wyckoff has been assigned the NPI (National Provider Identifier) 1396890273 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Lisa Anne Wyckoff's physical address?
The Lisa Anne Wyckoff is physically located at 7415 W Gulf To Lake Hwy, in the city of Crystal River, FL, with the postal code 344297834.
What is Lisa Anne Wyckoff's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Lisa Anne Wyckoff is Nutrition, Renal, and the corresponding taxonomy classification code for this specialized field is 133Vn1005X.
On what date did the Centers for Medicare & Medicaid Services issue the 1396890273 to Lisa Anne Wyckoff?
The Lisa Anne Wyckoff received its 1396890273 assignment from the Centers for Medicare & Medicaid Services on 2007-01-24.
When was the information related to Lisa Anne Wyckoff most recently updated or refreshed?
The details pertaining to the Lisa Anne Wyckoff, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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