Individual
LACEY DUFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008-4973
(602) 344-5011
Mailing address
1024 W 10TH ST, MESA, AZ 85201-3926
(208) 221-4455
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1081051
—
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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