Individual provider · Type 1 NPI
Susan Elizabeth Wallace, R, D., L.D.
Registered Dietitian · Lakeside Park, KY
Practice location
102 Carran Dr
Lakeside Park, KY 41017-2233
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Dietitian Primary | 133V00000X | KY-1998 (KY) |
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…
About NPI 1376842732
Susan Elizabeth Wallace, R, D., L.D.'s National Provider Identifier is 1376842732, issued on Mar 23, 2011. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Lakeside Park, KY. The record was last updated on Mar 23, 2011.