Lacey Waddell, MS, RD, LD

NPI #1033497425 in Sundance, Wyoming

Provider Information

NPI Number
1033497425
Entity Type
Individual
Name
Lacey Waddell, MS, RD, LD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dietitian, Registered
Credential
MS, RD, LD
Enumeration Date
Aug 2, 2011
Last Updated
Dec 20, 2018

Practice Location

Address
713 W OAK STREET
State
Wyoming
ZIP Code
82729
Phone
(307) 283-3501

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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