Individual
HAILEY NICOLE LACY
Active
Individual
HAILEY NICOLE LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Taxonomy
Speciality
Code
Description
License number
State
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
Primary
164.009015
IL
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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