Peterson, Lacie Marie
Peterson, Lacie Marie is an individual health care provider with primary practice located at 615 Arapeen Dr , Salt Lake City UT 84108-1267. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Peterson, Lacie Marie can be contacted via phone (801) 587-3961.Contact Information
Primary practice address
615 Arapeen Dr
Salt Lake City UT 84108-1267
Phone: (801) 587-3961
Fax: (801) 585-5906
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 6120423-4901 | Utah |
Profile Details
| NPI number | 1316052780 |
|---|---|
| LBN Legal business name | Peterson, Lacie Marie |
| Credentials | RD, CD, CDE |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2006 |
| Last updated | Nov 9th, 2010 - about 15 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.
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