Individual
LACEY GAMMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH,RD,LD
Contact information
Practice address
1400 6TH AVE S, BIRMINGHAM, AL 35233-1502
(205) 510-3407
Mailing address
601 WEST BLVD, BIRMINGHAM, AL 35206-1300
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2673
AL
Other
Enumeration date
10/16/2018
Last updated
10/16/2018
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