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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LACEY WADDELL, MS, RD, LD

Active

LACEY WADDELL, MS, RD, LD is a Registered Dietitian healthcare provider located in SUNDANCE, Wyoming. NPI 1033497425 is currently active in the NPPES registry. Verify at CMS.

Registered Dietitian · SUNDANCE, WY

Registration Details

NPI Number
1033497425
Provider Type
Individual
Gender
Female
NPI Issued
Aug 2, 2011 (14.890001366262 yrs)
Last Updated
Dec 20, 2018
Licenses
0410 (SD)
211 (WY)

Practice Information

Address
713 W OAK STREET
SUNDANCE, WY, 82729
Browse WY providers · Browse ZIP 82729
Phone
3072833501
Primary Specialty
Registered Dietitian
133V00000X
Additional Specialty
Registered Dietitian

Other Registered Dietitian Providers in SUNDANCE, WY

Name Credential NPI
SAMANTHA LEIGH WHITE MCN, RDN 1740915800
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.