Lisa Carlson, RD, LDN

Registered Dietitian · Lockport, IL

Individual Active NPI

NPI number 1992233902

Practice location

16221 W 159TH St Ste 102
Lockport, IL 60441-7959
Phone
(847) 868-3435

Open in Google Maps

NPI record

NPI
1992233902
Entity type
Individual (Type 1)
Enumeration date
June 2, 2017
Last updated
June 2, 2017
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Registered Dietitian Primary 133V00000X 164007042 IL

Mailing address

175 E Hawthorn Pkwy Ste 235
Vernon Hills, IL 60061-1454
Phone
(847) 868-3435
Fax
(847) 868-3435

About Lisa Carlson

Lisa Carlson, RD, LDN is a healthcare provider registered in the NPI registry with the primary taxonomy Registered Dietitian (code 133V00000X). The practice location is 16221 W 159TH St Ste 102, Lockport, IL 60441-7959. The NPI number 1992233902 was assigned on June 2, 2017 and the record was last updated on June 2, 2017.

Lisa Carlson lists a license in the registry: #164007042 (IL) for Registered Dietitian. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Lisa Carlson, RD, LDN?

The NPI number is 1992233902.

What is the phone number of Lisa Carlson?

The phone number listed for the practice location is (847) 868-3435.

Where is Lisa Carlson located?

16221 W 159TH St Ste 102, Lockport, IL 60441-7959.

What is the taxonomy code for Lisa Carlson?

The primary taxonomy code is 133V00000X – Registered Dietitian.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Registered Dietitian providers in Lockport

All Registered Dietitian providers in Lockport, IL →