Individual
TRACY LOCKWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CDN
Contact information
Practice address
330 W 58TH ST, SUITE 414, NEW YORK, NY 10019-1827
(888) 603-9228
Mailing address
2 TALL TREE LN, PLEASANTVILLE, NY 10570-1514
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
01082152
NY
Other
Enumeration date
12/16/2014
Last updated
12/18/2014
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