Individual
MRS. LACEY JULIA-ANN IRETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 686-2221
Mailing address
1945 S DENENE ST, WICHITA, KS 67209-1974
(316) 993-2046
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2208
KS
Other
Enumeration date
02/28/2023
Last updated
02/28/2023
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