Amor, Lacy Marie

Amor, Lacy Marie is an sole proprietor health care provider with primary practice located at 766 Indian Trail Blvd , Traverse City MI 49686-3567. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Pediatric, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Amor, Lacy Marie can be contacted via phone (231) 233-1774.

Contact Information

Primary practice address
766 Indian Trail Blvd Traverse City MI 49686-3567
Phone: (231) 233-1774
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X

Profile Details

NPI number 1265089361
LBN Legal business name Amor, Lacy Marie
Credentials RD, IBCLC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 22nd, 2019
Last updated Jul 7th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers