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Mrs. Lisa Anne Wyckoff, RD,CSR,LD
Renal Nutrition Registered Dietitian in Crystal River, Florida
NPI 1396890273

Lisa Anne Wyckoff is a Renal Nutrition Registered Dietitian based in Homosassa, FL and is specialized in Nutrition, Renal. Lisa Anne Wyckoff practices in Crystal River, FL and has the professional credentials of RD,CSR,LD. The NPI Number for Lisa Anne Wyckoff is 1396890273 and holds a License No. ND2626 (Florida).

The current practice location address for Lisa Anne Wyckoff is 7415 W Gulf To Lake Hwy, Crystal River, FL and can be reached out via phone at 352-795-1415 and via fax at 352-564-0147.

Location: 7415 W Gulf To Lake Hwy, Crystal River, FL, 34446-4720
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396890273
Provider Name
Lisa Anne Wyckoff
Credential
RD,CSR,LD
Provider Entity Type
Individual
Gender
Female
Address
7415 W Gulf To Lake Hwy, Crystal River, FL, 34446-4720
Phone Number
352-795-1415
Fax Number
352-564-0147
Provider Enumeration Date
01/24/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00025278 01 FL MEDICARE RAILROAD
institution
Provider Business Practice Location Address Details
Address
7415 W Gulf To Lake Hwy
City
Crystal River
State
Florida
Zip
34429-7834
Phone Number
352-795-1415
Fax Number
352-564-0147
person
Provider Business Mailing Address Details
Address
7415 W Gulf To Lake Hwy
City
Crystal River
State
Florida
Zip
34429-7834
Phone Number
352-795-1415
Fax Number
352-564-0147
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
Nutrition, Renal
Taxonomy
133VN1005X
License No.
ND2626 (Florida)
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/transplant) in a variety of settings, OR works indirectly in management, education, or research practice linked specifically to renal nutrition. The specialist in renal/nephrology nutrition is responsible for nutrition assessment, diagnosis, intervention, monitoring, and evaluation.
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