Lisa Hackney, RD is a
Dietitian, Registered based in Galena, Illinois. Lisa Hackney is licensed to practice in Illinois (license number 164007838) and her current practice location is
1 Medical Center Dr, Galena, Illinois. She can be reached at her office (for appointments etc.) via phone at
(815) 777-1340.
NPI number for Lisa Hackney is 1255179024 and her current mailing address is 509 Franklin St, Galena, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255179024.
Healthcare Provider's Profile
| Full Name | Lisa Hackney |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 1 Medical Center Dr, Galena, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1255179024
- Provider Enumeration Date: 07/17/2024
- Last Update Date: 08/01/2024
Medical Identifiers
Medical identifiers for Lisa Hackney such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1255179024 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | 164007838 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa Hackney is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Lisa Hackney, RD 509 Franklin St, Galena, IL 61036-1730 Ph: (815) 281-1451 | Lisa Hackney, RD 1 Medical Center Dr, Galena, IL 61036-8118 Ph: (815) 777-1340 |
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