Individual
LAUREN IACOBUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
916 LOCHMOOR LN, HIGHLAND VILLAGE, TX 75077-3119
(401) 473-4581
Mailing address
1538 GLENMORE DR, LEWISVILLE, TX 75077-2417
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT91934
TX
133V00000X
Registered Dietitian
LDN01331
RI
Other
Enumeration date
10/03/2018
Last updated
04/11/2025
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