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LACEY RENETTE MCMILLIAN NPI 1104411156


NPI Information

NPI: 1104411156
Provider Name: LACEY RENETTE MCMILLIAN
Classification: Dietitian, Registered - 133VN1005X
Entity Type: Individual

Specialization: Nutrition, Renal

Address:
111 LAUREL OAK DR
RED OAK, TX
ZIP 75154
Phone: (469) 464-8912
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Lacey Renette Mcmillian is a nutrition and renal dietitian registered in Red Oak, TX. The provider is an individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies (dialysis/transplant) in a variety of settings, OR works indirectly in management, education, or research practice linked specifically to renal nutrition. The specialist in renal/nephrology nutrition is responsible for nutrition assessment, diagnosis, intervention, monitoring, and evaluation. Lacey Renette Mcmillian NPI is 1104411156. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

111 LAUREL OAK DR
RED OAK, TX
ZIP 75154-634
Phone: (469) 464-8912

The enumeration date for this NPI number is 3/2/2021 and was last updated on 3/2/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1133VN1005XDietitian, RegisteredNutrition, Renal86032981KANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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