Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. LISA ANNE WYCKOFF, RD, CSR, LD
Active Sole ProprietorMRS. LISA ANNE WYCKOFF, RD, CSR, LD is a Renal Nutrition healthcare provider located in CRYSTAL RIVER, Florida. NPI 1396890273 is currently active in the NPPES registry. Verify at CMS.
Renal Nutrition · CRYSTAL RIVER, FL
Registration Details
- NPI Number
- 1396890273
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 24, 2007 (19.365563806557 yrs)
- Last Updated
- Jul 8, 2007
- License
-
ND2626 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7415 W GULF TO LAKE HWYCRYSTAL RIVER, FL, 344297834Browse FL providers · Browse ZIP 34429
- Phone
- 3527951415
- Fax
- 3525640147
- Primary Specialty
-
Renal Nutrition
133VN1005X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.