Individual
BRIDGET JOY LACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,LD
Contact information
Practice address
1044 BELMONT AVE, YOUNGSTOWN, OH 44504-1006
(330) 480-2223
Mailing address
608 WESTFIELD DR, YOUNGSTOWN, OH 44512-6448
(330) 782-5653
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1690
OH
Other
Enumeration date
04/12/2007
Last updated
06/21/2011
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