Individual
CAROLINE LACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 PIER 4 BLVD UNIT 308, BOSTON, MA 02210-1889
(617) 365-1639
Mailing address
100 PIER 4 BLVD UNIT 308, BOSTON, MA 02210-1889
(617) 365-1639
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/27/2020
Last updated
11/27/2020
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