Lacey Raser
Dietitian, Registered in Saint Paul, MN. Individual provider (NPI-1).
NPI number1295359727
StatusActive
Last updated in NPPESJun 1, 2020
Details
- NPI
- 1295359727
- Entity type
- Individual (NPI-1)
- Name
- Lacey Raser
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 1, 2020
- Certification date
- Jun 1, 2020
- Last updated
- Jun 1, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | – | – | Yes |
Practice location
2230 Como AveSaint Paul, MN 55108-1720
Phone 888-364-5977
Mailing address
2230 Como AveSaint Paul, MN 55108-1720
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