Individual
LACY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
1826 VETERANS BLVD, DUBLIN, GA 31021-3620
(478) 272-1210
Mailing address
412 CHILDERS DR, WARNER ROBINS, GA 31088-3136
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD003180
GA
Other
Enumeration date
12/18/2009
Last updated
12/18/2009
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