Active NPIIndividual provider

Lacey M Bouchard, RDN

Dietitian, Registered in York, Maine

NPI Number1871809632
Practice location
4 Market Place Dr # 15, York, ME 03909-1698
Fax
—
Last updated
February 6, 2017

Lacey M Bouchard is a Dietitian, Registered based in York, ME. Lacey M Bouchard practices in York, ME and has the professional credentials of RDN. The NPI Number for Lacey M Bouchard is 1871809632 and holds a License No. DI1016 (ME). The current practice location address for Lacey M Bouchard is 4 Market Place Dr # 15, York, ME 03909-1698 and can be reached out via phone at 207-331-2381.

Provider Profile Details

NPI Number
1871809632
Provider Name
Lacey M Bouchard
Credential
RDN
Provider Entity Type
Individual
Gender
Female
Address
4 Market Place Dr # 15, York, ME 03909-1698
Phone Number
207-331-2381
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Provider Enumeration Date
August 31, 2010
Last Update Date
February 6, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
4 Market Place Dr # 15
York, ME 03909-1698
City
York
State
Maine
Zip
03909-1698
Phone Number
207-331-2381
York, ME 03909Get directions →

Provider Business Mailing Address Details

Address
2710 Sanford RD
Wells, ME 04090-6431
City
Wells
State
ME
Zip
04090-6431
Phone Number
207-331-2381

License Information

License Number
DI1016
License State
ME
Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Dietitian, Registered providers near York, ME

View all Dietitian, Registered providers in York →

Frequently Asked Questions

What is the NPI number of Lacey M Bouchard, RDN?

The NPI number of Lacey M Bouchard, RDN is 1871809632. It was assigned on August 31, 2010 and is currently active in the NPPES registry.

What is the specialty of Lacey M Bouchard, RDN?

Lacey M Bouchard, RDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in ME under license number DI1016.

Where does Lacey M Bouchard, RDN practice?

The practice location is 4 Market Place Dr # 15, York, ME 03909-1698. The office can be reached at 207-331-2381 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1871809632 directly on the NPPES registry website.

Browse related providers