Individual
PETER LACELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD, CDN
Contact information
Practice address
110 W 6TH ST, OSWEGO, NY 13126-2507
(315) 349-5679
Mailing address
110 W 6TH ST, OSWEGO, NY 13126-2507
(315) 349-5679
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
008423-1
NY
Other
Enumeration date
05/10/2016
Last updated
05/10/2016
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