Individual
JACEY LUTZ THIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5720
(504) 899-9511
Mailing address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5720
(504) 899-9511
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2913
LA
Other
Enumeration date
03/31/2020
Last updated
10/04/2024
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