Individual provider · Type 1 NPI

Edye Lynn Wagner, RD, LDN

Registered Dietitian · Lake Forest, IL

NPI number 1346416740 Active

Practice location

660 N Westmoreland Rd
Lake Forest, IL 60045-1659

Call (847) 234-5600 Map

Fax (847) 535-7851

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000X164000949 (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…

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About NPI 1346416740

Edye Lynn Wagner, RD, LDN's National Provider Identifier is 1346416740, issued on May 6, 2008. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Lake Forest, IL. The record was last updated on May 6, 2008.