Stacy D Peters M.S., R.D., L.D.

NPI 1407012321 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1407012321
Gender Female
Enumeration Date 07/30/2008
Last Updated 07/30/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
4810 N LOOP 289
LUBBOCK TX, 79416-3025, US
Phone (806) 472-5325
Fax (806) 687-7778
Business Location
1805 79TH PL
LUBBOCK TX, 79423-2409, US
Phone (806) 470-3489
Fax (806) 687-7778
Toxanomy
Taxonomy Code 133V00000X
License State New Mexico
License Number LD0639
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According to our database, Stacy D Peters M.S., R.D., L.D. NPI is 1407012321, taxonomy code is 133V00000X and license number is LD0639, license state is located at New Mexico. Stacy D Peters M.S., R.D., L.D. physically located at 4810 N Loop 289, Lubbock TX, 79416-3025. NPI Number Stacy D Peters M.S., R.D., L.D. has the Individual type.

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1407012321 NPI number is provided on an as is basis without warranty of any kind. 1407012321 is maintained by the National Plan & Provider Enumeration System. The contents of Stacy D Peters M.S., R.D., L.D. are for informational purposes only.