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Individual

LUCY M. STACY

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
M.S.,R.D.,CDE

Contact information

Practice address
214 E 23RD ST, CHEYENNE, WY 82001-3748
(307) 432-6483
(307) 633-7998
Mailing address
214 E 23RD ST, CHEYENNE, WY 82001-3748
(307) 432-6483
(307) 633-7998

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
05/08/2006
Last updated
07/08/2007
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