Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lisa Davis, RDN

Individual provider Registered Dietitian · NPI 1548834013

Lisa Davis, RDN is a Registered Dietitian in Malad City, Idaho. Licensed in Utah. Registered with an NPI since 2021.

Licensed in
UT
In the registry since
2021
What do these letters mean?
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.

See every abbreviation used in this directory →

Practice location Address checks out

5054 S 4600 W
Malad City, ID 83252-6551
Phone: (719) 290-8113
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 12248913-4901 (UT)

Record details

NPI number1548834013
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDN
Sole proprietorNo
NPI enumeratedMay 18, 2021
Last updated in NPPESMay 18, 2021
Certification dateMay 18, 2021
Mailing address5054 S 4600 W, Malad City, ID 83252-6551

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