Individual
MRS. LACEY LEIGH MCLAURIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. R.D.
Contact information
Practice address
71 VIOLET DR, ELLISVILLE, MS 39437-0000
(601) 319-5526
Mailing address
71 VIOLET DR, ELLISVILLE, MS 39437
(601) 319-5526
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D1129
MS
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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