| Mrs Lisa Anne Wyckoff, RD, CSR, LD | |
|
7415 W Gulf To Lake Hwy, Crystal River, FL 34429-7834 | |
| (352) 795-1415 | |
| (352) 564-0147 |
| Full Name | Mrs Lisa Anne Wyckoff |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered - Nutrition, Renal |
| Location | 7415 W Gulf To Lake Hwy, Crystal River, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396890273 | NPI | - | NPPES |
| P00025278 | Other | FL | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133VN1005X | Dietitian, Registered - Nutrition, Renal | ND2626 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Lisa Anne Wyckoff, RD, CSR, LD 9 Shumard Ct S, Homosassa, FL 34446-4720 Ph: (352) 382-2048 | Mrs Lisa Anne Wyckoff, RD, CSR, LD 7415 W Gulf To Lake Hwy, Crystal River, FL 34429-7834 Ph: (352) 795-1415 |
Ms. Kelly Irene Niblett, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6201 N Suncoast Blvd, Crystal River, FL 34428 Phone: 352-795-6560 | |
Ms. Kaitlyn Dickert, PA-C Dietitian Medicare: Medicare Enrolled Practice Location: 1250 N Vantage Point Dr, Crystal River, FL 34429 Phone: 352-795-0644 |