Organization Name: | LACY DAVIDSON, MS, RDN, LD, CDE, RYT |
NPI Number: | 1164889952 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LACY MICHELLE DAVIDSON (OWNER) |
Mailing Address: | 162 Honeysuckle Ln Huntington |
State: | WV US |
Postal Code: | 257014726 |
Phone Number: | 3046330675 |
Fax Number: | 3044052142 |
NPI Enumeration Date: | 01/25/2016 |
NPI Last Update Date: | 01/25/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 934 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |