Individual
DANA LACROIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 YORK ST FOOD AND NUTRITION EPB806, NEW HAVEN, CT 06510
(203) 688-3732
Mailing address
20 YORK STREET FOOD AND NUTRITION EPB806, NEW HAVEN, CT 06510
(203) 688-3732
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
184
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C02658
MEDICARE YNHH MEDICARE NUMBER
CT
Enumeration date
12/08/2015
Last updated
12/08/2015
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