Individual
MRS. LACEY J MAURITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
4985 MORVEN RD, JACKSONVILLE, FL 32210-8301
(504) 782-3281
Mailing address
4985 MORVEN RD, JACKSONVILLE, FL 32210-8301
(504) 782-3281
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND7301
FL
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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