Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lacie Brisbon

Individual provider Nutritionist · NPI 1982292173

Lacie Brisbon is a Nutritionist in Orlando, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2021
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Practice location Address checks out

13166 Odyssey Lake Way
Orlando, FL 32826-4642
Phone: (407) 455-8258
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nutritionist (primary) Taxonomy 133N00000X · Licence 11585 (FL)

Record details

NPI number1982292173
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 4, 2021
Last updated in NPPESJanuary 4, 2021
Certification dateJanuary 4, 2021
Mailing address13166 Odyssey Lake Way, Orlando, FL 32826-4642

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