Lisa Wyckoff, RD, CSR, LD

NPI 1396890273 · on the registry since 2007 · sole proprietor

Practice

Address: 7415 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone: (352) 795-1415
Fax: (352) 564-0147
Organisation at this address: Citrus Nephrology Associates Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 133VN1005X
133VN1005X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida