Individual
JACY LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-5682
Mailing address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-5682
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2016022910
MO
Other
Enumeration date
08/22/2016
Last updated
08/22/2016
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