Nourish by Lacey, LLC

NPI #1144762071 in York, Maine

Provider Information

NPI Number
1144762071
Entity Type
Organization
Organization Name
Nourish by Lacey, LLC
Primary Specialty
Dietitian, Registered
Enumeration Date
Nov 9, 2016
Last Updated
Nov 9, 2016

Practice Location

Address
4 MARKET PLACE DR
Address 2
SUITE 203, BOX 15
City
York
State
Maine
ZIP Code
03909-1698
Phone
(207) 331-2381

Authorized Official

Name
MRS. LACEY M BOUCHARD, RD
Title
REGISTERED DIETITIAN/OWNER
Phone
(207) 331-2381

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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