Individual
LACEY ANN VIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 N 2ND AVE APT 7, JONESBOROUGH, TN 37659-1134
(815) 342-0895
Mailing address
205 N 2ND AVE APT 7, JONESBOROUGH, TN 37659-1134
(815) 342-0895
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/27/2021
Last updated
03/27/2021
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