Lacy Stuart Kelly, MS

NPI #1437973617 in Venice, California

Provider Information

NPI Number: 1437973617
Entity Type: Individual
Name: Lacy Stuart Kelly, MS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Nutritionist
Credential: MS
Enumeration Date: Nov 13, 2024
Last Updated: Nov 13, 2024

Practice Location

Address: 2331 GLYNDON AVE
City: Venice
State: California
ZIP Code: 90291-4044
Phone: (203) 249-2254

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nutritionist	133N00000X	Primary

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