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Mrs. Liza Jo Locklear, RDCDCDE
Registered Dietitian in Green Bay, Wisconsin
NPI 1932388212

Liza Jo Locklear is a Registered Dietitian based in Green Bay, WI. Liza Jo Locklear practices in Green Bay, WI and has the professional credentials of RDCDCDE. The NPI Number for Liza Jo Locklear is 1932388212 and holds a License No. 1610-29 (Wisconsin).

The current practice location address for Liza Jo Locklear is 2641 Development Dr, Green Bay, WI and can be reached out via phone at 920-338-6868 and via fax at 920-338-6869. You can also correspond with Liza Jo Locklear through the mailing address at PO BOX 22487, GREEN BAY, WI - 54305-2487 (mailing address contact number: 920-445-7222).

Location: 2641 Development Dr, Green Bay, WI, 54305-2487
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932388212
Provider Name
Liza Jo Locklear
Credential
RDCDCDE
Provider Entity Type
Individual
Gender
Female
Address
2641 Development Dr, Green Bay, WI, 54305-2487
Phone Number
920-338-6868
Fax Number
920-338-6869
Provider Enumeration Date
11/02/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
886243 01 COMMISSION ON DIETETIC REGISTRATION
21900466 01 NATIONAL CERTIFICATION BOARD FOR DIABETES
institution
Provider Business Practice Location Address Details
Address
2641 Development Dr
City
Green Bay
State
Wisconsin
Zip
54311-4240
Phone Number
920-338-6868
Fax Number
920-338-6869
person
Provider Business Mailing Address Details
Address
2641 Development Dr
City
Green Bay
State
Wisconsin
Zip
54311-4240
Phone Number
920-338-6868
Fax Number
920-338-6869
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
-
Taxonomy
133V00000X
License No.
1610-29 (Wisconsin)
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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