Monique L Lisowski, R.D., L.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

ND 4795 Issued in FL

Practice address

4231 South Pipkin Road
Lakeland, FL 33811

Phone

(863) 323-4194

NPI assigned

Nov 11, 2008

Last updated

Dec 5, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Monique L Dantzler Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575504000000",
    "number": "1932353406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13000 BRUCE B DOWNS BLVD",
            "address_2": "ATTN: LAKELAND CBOC CLINIC",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336124745",
            "telephone_number": "813-972-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4231 SOUTH PIPKIN ROAD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "33811",
            "telephone_number": "863-323-4194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISOWSKI",
        "first_name": "MONIQUE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "R.D., L.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-11",
        "last_updated": "2019-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND 4795",
            "primary": true
        },
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": "FL",
            "license": "ND4795",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONIQUE",
            "last_name": "DANTZLER",
            "middle_name": "L",
            "credential": "R.D., L.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Frank Joseph Lipovich, BS
• Benjamin Elliot Lippmann, D.O.
• Eric Lipson, MD
• Lisa Hiestand
• Lisa M Ma DMD, PLLC
• Little Royals Ppec, Inc
• Lives Matter Mental Health Services LLC
• Michelle Ann Lizotte, APRN
• LJ & Margarita Home Care LLC
• Charles D. Llano, D.D.S.

• Registered Dietitian in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.