Individual
LACEY RASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2230 COMO AVE, SAINT PAUL, MN 55108-1720
(888) 364-5977
Mailing address
2230 COMO AVE, SAINT PAUL, MN 55108-1720
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/01/2020
Last updated
06/01/2020
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