Individual
LACY TUBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1759 PHYSICIANS PARK DR STE A, BATON ROUGE, LA 70816-3223
(910) 548-1144
Mailing address
1759 PHYSICIANS PARK DR STE A, BATON ROUGE, LA 70816-3223
(910) 548-1144
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2889
LA
Other
Enumeration date
10/31/2018
Last updated
10/31/2018
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