| Lacie Diane Hawkins, RD-LDN | |
|
1006 S Division St, Carterville, IL 62918-1539 | |
| (618) 985-4841 | |
| (618) 985-8101 |
| Full Name | Lacie Diane Hawkins |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 1006 S Division St, Carterville, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588855712 | NPI | - | NPPES |
| 14-1816 | Other | IL | MEDICARE FQHC NUMBER |
| 370966854004 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 164004504 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lacie Diane Hawkins, RD-LDN Po Box 577, Carterville, IL 62918-0577 Ph: (618) 985-8221 | Lacie Diane Hawkins, RD-LDN 1006 S Division St, Carterville, IL 62918-1539 Ph: (618) 985-4841 |
Gail L Peterman, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1006 S Division St, Carterville, IL 62918 Phone: 618-519-9200 Fax: 618-985-3774 | |
Mrs. Natalie J. Demello, RD, LDN, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 304 Excalibur, Carterville, IL 62918 Phone: 618-889-9440 | |
Nicole Davis, MS, RDN, LDN Dietitian Medicare: Medicare Enrolled Practice Location: 1006 S Division St, Carterville, IL 62918 Phone: 618-519-9200 Fax: 618-985-3774 |