Individual
LACI SMALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
287 PANTHER TRAIL DRIVE, KINDER, LA 70648
(337) 738-4180
Mailing address
PO BOX 1536, KINDER, LA 70648-1536
(337) 738-4180
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2065
LA
Other
Enumeration date
02/11/2009
Last updated
05/19/2016
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