Organization
NOURISH BY LACEY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LACEY M BOUCHARD RD (REGISTERED DIETITIAN/OWNER)
(207) 331-2381
Entity
Organization
Contact information
Practice address
4 MARKET PLACE DR, SUITE 203, BOX 15, YORK, ME 03909-1698
(207) 331-2381
Mailing address
4 MARKET PLACE DR, SUITE 203, BOX 15, YORK, ME 03909-1698
(207) 331-2381
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI1016
ME
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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