Individual provider · Type 1 NPI

Jane Dougherty-Lake, RD

Registered Dietitian · Tuba City, AZ

NPI number 1720110885 Active

Practice location

167 North Main Street
Tuba City, AZ 86045

Mailing address

PO Box 1260
Tuba City, AZ 86045-1260

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000XNone listed

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 1720110885

Jane Dougherty-Lake, RD's National Provider Identifier is 1720110885, issued on Mar 12, 2007. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Tuba City, AZ. The record was last updated on Jul 8, 2007.