Organization
NULA NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LACY MARIE AMOR RD, IBCLC (OWNER)
(231) 233-1774
Entity
Organization
Contact information
Practice address
766 INDIAN TRAIL BLVD, TRAVERSE CITY, MI 49686-3567
(231) 233-1774
Mailing address
766 INDIAN TRAIL BLVD, TRAVERSE CITY, MI 49686-3567
(231) 233-1774
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
174N00000X
Lactation Consultant (Non-RN)
—
—
Other
Enumeration date
08/26/2020
Last updated
08/26/2020
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