Individual provider · Type 1 NPI

Ivory Lira, RDN

Registered Dietitian · Haymarket, VA

NPI number 1114393170 Active

Practice location

15195 Heathcote Blvd Ste 330
Haymarket, VA 20169

Fax (571) 284-3389

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice locations

  • 15195 Heathcote Blvd Ste 330, Haymarket, VA 20169 · (571) 284-3380

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian 133V00000X101206 (AK)
Registered Dietitian Primary 133V00000X86049472 (VA)

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 1114393170

Ivory Lira, RDN's National Provider Identifier is 1114393170, issued on Aug 13, 2015. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Haymarket, VA. The record was last updated on Jul 28, 2021.