Lisa Ann Licari in Garden City - Nutrition, Renal

Lisa Ann Licari - NPI 1144484098

Lisa Ann Licari is a Nutrition, Renal in Garden City, New York. Lisa Ann Licari practices all healthcare services and medical treatments related to Nutrition, Renal. The NPI Number for Lisa Ann Licari is 1144484098. The last update date is 2008-07-10.

Lisa Ann Licari's current location address is 121 Manor Rd, Garden City, New York. You can contact this provider via phone number 5162702879. The mailing address for Lisa Ann Licari is 121 Manor Rd, Garden City, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Lisa Ann Licari
Address 121 Manor Rd, Garden City, New York
Phone Number 5162702879
Fax Number
Sole Proprietor N
Credentials R.D.

NPI Number Detail

NPI Number 1144484098
Provider Enumeration Date 2008-07-10
Last Updated Date 2008-07-10

Provider Mailing Address Detail

Address 121 Manor Rd
City Garden City
State New York (NY)
Post Code 115302410
Phone Number 5162702879
Fax Number

Provider's Primary Taxonomy Detail

Speciality Nutrition, Renal
Taxonomy 133Vn1005X
Licence No 5632
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

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FAQs about Lisa Ann Licari

What is the unique 10-digit identifier code assigned to Lisa Ann Licari by the Centers for Medicare & Medicaid Services?

The Lisa Ann Licari has been issued the NPI (National Provider Identifier) 1144484098 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you share the physical location details of Lisa Ann Licari?

The Lisa Ann Licari is situated at 121 Manor Rd, in the city of Garden City, state of NY, with the zip code 115302410.

What is the area of specialization for Lisa Ann Licari, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Lisa Ann Licari is Nutrition, Renal, and the corresponding taxonomy code that categorizes this area of expertise is 133Vn1005X.

On what date did the Lisa Ann Licari receive its 1144484098 assignment from the Centers for Medicare & Medicaid Services?

The Lisa Ann Licari was assigned its 1144484098 by the Centers for Medicare & Medicaid Services on 2008-07-10.

As of what date was the information pertaining to Lisa Ann Licari, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Lisa Ann Licari, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-07-10.

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