Individual
MRS. LACY BLANCHARD NGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., R.D.
Contact information
Practice address
525 S INDEPENDENCE BLVD, SUITE 150, VIRGINIA BEACH, VA 23452-1188
(757) 687-7902
Mailing address
2213 WILLOW OAK CIR, APT. 104, VIRGINIA BEACH, VA 23451-6815
(704) 616-7963
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
933981
VA
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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