Individual
LACY JO WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
10 W FLETCHALL ST, POSEYVILLE, IN 47633-9015
(618) 926-3576
Mailing address
10 W FLETCHALL ST, POSEYVILLE, IN 47633-9015
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
296522
KY
133V00000X
Registered Dietitian
Primary
37002126A
IN
Other
Enumeration date
01/24/2026
Last updated
01/24/2026
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