Individual
LACEY JO LYONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1506 BLUEGRASS LN, CHAMPAIGN, IL 61822-2075
(217) 552-2851
Mailing address
1506 BLUEGRASS LN, CHAMPAIGN, IL 61822-2075
(217) 552-2851
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/28/2023
Last updated
07/28/2023
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