Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lissa Dee Green, RD, LDN, CDCES

Individual provider Registered Dietitian · NPI 1811698939

Lissa Dee Green, RD, LDN, CDCES is a Registered Dietitian in Columbia, South Carolina. Licensed in Michigan and South Carolina. Registered with an NPI since 2023.

Licensed in
MI, SC
In the registry since
2023
Specialties on file
2
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.
LDN — Licensed Dietitian Nutritionist
A state-licensed dietitian nutritionist.

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Practice location Address checks out

9 Richland Medical Park Dr Ste 230
Columbia, SC 29203-6859
Phone: (803) 434-7990
Fax: (803) 434-4669
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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 182 (SC)
Registered Dietitian Taxonomy 133V00000X · Licence 715365 (MI)

Record details

NPI number1811698939
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD , LDN , CDCES
Sole proprietorNo
NPI enumeratedMarch 15, 2023
Last updated in NPPESJune 1, 2023
Certification dateJune 1, 2023

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