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Jaci Elizabeth Lake, RD
Registered Dietitian in Centralia, Illinois
NPI 1235776816

Jaci Elizabeth Lake is a Registered Dietitian based in Oakdale, IL. Jaci Elizabeth Lake practices in Centralia, IL and has the professional credentials of RD. The NPI Number for Jaci Elizabeth Lake is 1235776816 and holds a License No. 164.006872 (Illinois).

The current practice location address for Jaci Elizabeth Lake is 432 N Pleasant Ave, Centralia, IL and can be reached out via phone at 618-436-8114.

Location: 432 N Pleasant Ave, Centralia, IL, 62268-1415
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235776816
Provider Name
Jaci Elizabeth Lake
Credential
RD
Provider Entity Type
Individual
Gender
Female
Address
432 N Pleasant Ave, Centralia, IL, 62268-1415
Phone Number
618-436-8114
Fax Number
Provider Enumeration Date
12/03/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
432 N Pleasant Ave
City
Centralia
State
Illinois
Zip
62801-3006
Phone Number
618-436-8114
Fax Number
person
Provider Business Mailing Address Details
Address
432 N Pleasant Ave
City
Centralia
State
Illinois
Zip
62801-3006
Phone Number
618-436-8114
Fax Number
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
-
Taxonomy
133V00000X
License No.
164.006872 (Illinois)
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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