Individual provider · Type 1 NPI
Lisa Ann Licavoli, R.D.
Registered Dietitian · Newport Beach, CA
Practice location
2289 Redlands Dr
Newport Beach, CA 92660
Fax (949) 646-4978
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nutritionist | 133N00000X | None listed |
| Registered Dietitian Primary | 133V00000X | R-553289 (CA) |
Registered Dietitian: 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…
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About NPI 1063915080
Lisa Ann Licavoli, R.D.'s National Provider Identifier is 1063915080, issued on Mar 15, 2018. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Newport Beach, CA. The record was last updated on Mar 15, 2018.