Amy Moon Lancaster, MS, RD, LD

NPI #1295093201 in Larue, Texas

Provider Information

NPI Number
1295093201
Entity Type
Individual
Name
Amy Moon Lancaster, MS, RD, LD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dietitian, Registered
Credential
MS, RD, LD
Enumeration Date
Apr 26, 2012
Last Updated
Apr 26, 2012

Practice Location

Address
19828 N PINE VIEW TRL
City
Larue
State
Texas
ZIP Code
75770-6311
Phone
(903) 570-5588

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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