Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Lisa Ann Rose, RD, LDN

Individual provider Registered Dietitian · NPI 1205050473

MS. Lisa Ann Rose, RD, LDN is a Registered Dietitian in Peoria, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2007
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

221 NE Glen Oak Ave
Peoria, IL 61636-0002
Phone: (309) 672-4954
Fax: (309) 672-4953
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X (IL)

Record details

NPI number1205050473
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD , LDN
Sole proprietorYes
NPI enumeratedApril 12, 2007
Last updated in NPPESJuly 8, 2007

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