Individual
MRS. LACEY LYONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CNSC
Contact information
Practice address
3630 E IMPERIAL HWY, LYNWOOD, CA 90262-2609
(310) 900-5727
Mailing address
3630 E IMPERIAL HWY, LYNWOOD, CA 90262-2609
(310) 900-5727
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
983196
CA
Other
Enumeration date
01/28/2013
Last updated
10/06/2015
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