| Nourish By Lacey, Llc | |
|
4 Market Place Dr, Suite 203, Box 15, York, ME 03909-1698 | |
| (207) 331-2381 | |
| Not Available |
| Full Name | Nourish By Lacey, Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 4 Market Place Dr, York, Maine |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144762071 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | DI1016 (Maine) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Nourish By Lacey, Llc 4 Market Place Dr, Suite 203, Box 15, York, ME 03909-1698 Ph: (207) 331-2381 | Nourish By Lacey, Llc 4 Market Place Dr, Suite 203, Box 15, York, ME 03909-1698 Ph: (207) 331-2381 |
Leisa R Smith, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 15 Hospital Dr, York Hospital, York, ME 03909 Phone: 207-351-3596 | |
Barbara E Moriarty, RD, LD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 15 Hospital Drive, York Hospital, York, ME 03909 Phone: 207-351-3702 Fax: 207-351-3701 | |
Lacey M Bouchard, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4 Market Place Dr # 15, York, ME 03909 Phone: 207-331-2381 |