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

Lisa Lauritzen Smith, RDN

Individual provider Registered Dietitian · NPI 1104464734

Lisa Lauritzen Smith, RDN is a Registered Dietitian in Jackson, Wyoming. Licensed in Wyoming. Registered with an NPI since 2019.

Licensed in
WY
In the registry since
2019
What do these letters mean?
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.

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Practice location Address checks out

625 E Broadway Ave
Jackson, WY 83001-8642
Phone: (307) 739-7357
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 071 (WY)

Record details

NPI number1104464734
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDN
Sole proprietorNo
NPI enumeratedDecember 13, 2019
Last updated in NPPESFebruary 18, 2021
Certification dateFebruary 18, 2021
Mailing addressPo Box 428, Jackson, WY 83001-0428

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