| Doctor Name: | LEE A HYRKAS |
| NPI Number: | 1114321858 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RD,CD |
| License Number: | 2667-29 |
| Business Practice Address: | 1630 Commanche Ave Green Bay, WI - 543135753 |
| Business Phone Number: | 9204304700 |
| Business Fax Number: | 9204304747 |
| Mailing Address: | Po Box 22487, GREEN BAY |
| State: | WI |
| Postal Code: | 543052487 |
| Phone Number: | 9204457210 |
| Fax Number: | 9204457289 |
| NPI Enumeration Date: | 10/09/2014 |
| NPI Last Update Date: | 10/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 2667-29 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |