Amy Moon Lancaster, MS, RD, LD
Dietitian, Registered in Larue, TX. Individual provider (NPI-1).
NPI number1295093201
StatusActive
Last updated in NPPESApr 26, 2012
Details
- NPI
- 1295093201
- Entity type
- Individual (NPI-1)
- Name
- Amy Moon Lancaster
- Credential
- MS, RD, LD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 26, 2012
- Last updated
- Apr 26, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | DT06227 | TX | Yes |
Practice location
19828 N Pine View TrlLarue, TX 75770-6311
Phone 903-570-5588
Mailing address
19828 N Pine View TrlLarue, TX 75770-6311
Phone 903-570-5588
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