Lisanne Laurine Hoekstra, RD, LD | |
11851 Jollyville Rd Ste 104, Austin, TX 78759-2350 | |
(512) 257-2426 | |
Not Available |
Full Name | Lisanne Laurine Hoekstra |
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Gender | Female |
Speciality | Dietitian, Registered - Nutrition, Obesity And Weight Management |
Location | 11851 Jollyville Rd Ste 104, Austin, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1629600978 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133VN1201X | Dietitian, Registered - Nutrition, Obesity And Weight Management | DT86144 (Texas) | Primary |
Provider Name | Ilivewell Nutrition Therapy, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1093150070 PECOS PAC ID: 5496186009 Enrollment ID: O20200515000498 |
Provider Name | Nourish, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471 |
Mailing Address | Practice Location Address |
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Lisanne Laurine Hoekstra, RD, LD 3001 Scofield Ridge Pkwy Apt 3206, Austin, TX 78727-6547 Ph: (832) 421-1343 | Lisanne Laurine Hoekstra, RD, LD 11851 Jollyville Rd Ste 104, Austin, TX 78759-2350 Ph: (512) 257-2426 |
Adriana Krueger, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 12209 Alcanza Dr, Austin, TX 78739 Phone: 512-550-4849 | |
Kimberley Bandelier, R.D., L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3724 Jefferson St, Suite 104, Austin, TX 78731 Phone: 512-693-7045 | |
Gabrielle Palmeri, MDN, RD, LDN Dietitian Medicare: Medicare Enrolled Practice Location: 3724 Jefferson St Ste 104, Austin, TX 78731 Phone: 412-692-7699 | |
Chelsea Davidson, RD, LD Dietitian Medicare: Medicare Enrolled Practice Location: 2208 E 14th St, Austin, TX 78702 Phone: 410-236-1181 | |
Claire Hafner, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 919 E 32nd St, Austin, TX 78705 Phone: 512-544-4077 | |
Lauren Mcgill, MS, RDN, CSSD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4613 Herzog St, Austin, TX 78723 Phone: 480-600-2021 | |
Erin Marie Rigney, RD, LD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 5555 N Lamar Blvd, Ste D-125, Austin, TX 78751 Phone: 512-757-0174 |