Individual
LACY SPRAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
200 HIGH SERVICE AVE, NORTH PROVIDENCE, RI 02904-5113
(401) 456-3198
Mailing address
200 HIGH SERVICE AVE, NORTH PROVIDENCE, RI 02904-5113
(508) 765-9771
(508) 764-2460
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2988
MA
Other
Enumeration date
05/03/2010
Last updated
05/11/2011
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