Lacey Michelle Wagner, RD

NPI #1043855315 in Wenatchee, Washington

Provider Information

NPI Number
1043855315
Entity Type
Individual
Name
Lacey Michelle Wagner, RD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dietitian, Registered
Credential
RD
Enumeration Date
Nov 11, 2019
Last Updated
Nov 20, 2019

Practice Location

Address
1201 S MILLER ST
ZIP Code
98801-3201
Phone
(509) 662-1511

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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