Individual provider · Type 1 NPI
Jaci Elizabeth Lake, RD
Registered Dietitian · Centralia, IL
Practice location
432 N Pleasant Ave
Centralia, IL 62801-3006
Mailing address
7843 Coolidge Rd
Oakdale, IL 62268-1415
Other practice locations
- 5 Good Samaritan Way, Mount Vernon, IL 62864-2402 · (618) 436-8114
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Dietitian Primary | 133V00000X | 164.006872 (IL) |
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…
Another provider at this address
About NPI 1235776816
Jaci Elizabeth Lake, RD's National Provider Identifier is 1235776816, issued on Dec 3, 2019. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Centralia, IL. The record was last updated on Dec 3, 2019.