Individual
AMY MOON LANCASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
19828 N PINE VIEW TRL, LARUE, TX 75770-6311
(903) 570-5588
Mailing address
19828 N PINE VIEW TRL, LARUE, TX 75770-6311
(903) 570-5588
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT06227
TX
Other
Enumeration date
04/26/2012
Last updated
04/26/2012
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