Individual
ELIZABETH A LANCIONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LD, CNSC
Contact information
Practice address
625 E BROADWAY AVE, JACKSON, WY 83001-8642
(307) 739-7361
Mailing address
625 E BROADWAY AVE, JACKSON, WY 83001-8642
(307) 739-7361
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
396
WY
Other
Enumeration date
10/31/2023
Last updated
10/31/2023
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