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Ms. Lisa Ann Licavoli, RD
Registered Dietitian in Newport Beach, California
NPI 1063915080

Lisa Ann Licavoli is a Registered Dietitian based in Newport Beach, CA. Lisa Ann Licavoli practices in Newport Beach, CA and has the professional credentials of RD. The NPI Number for Lisa Ann Licavoli is 1063915080 and holds a License No. (California).

The current practice location address for Lisa Ann Licavoli is 2289 Redlands Dr, Newport Beach, CA and can be reached out via phone at 949-646-4842 and via fax at 949-646-4978.

Location: 2289 Redlands Dr, Newport Beach, CA, 92660
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063915080
Provider Name
Lisa Ann Licavoli
Credential
RD
Provider Entity Type
Individual
Gender
Female
Address
2289 Redlands Dr, Newport Beach, CA, 92660
Phone Number
949-646-4842
Fax Number
949-646-4978
Provider Enumeration Date
03/15/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2289 Redlands Dr
City
Newport Beach
State
California
Zip
92660
Phone Number
949-646-4842
Fax Number
949-646-4978
person
Provider Business Mailing Address Details
Address
2289 Redlands Dr
City
Newport Beach
State
California
Zip
92660
Phone Number
949-646-4842
Fax Number
949-646-4978
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Nutritionist
Speciality
-
Taxonomy
133N00000X
License No.
R-553289 (California)
Definition
A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.
person
Provider's Taxonomy Details 2
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
-
Taxonomy
133V00000X
License No.
(California)
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 the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
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