Lacy Marie Amor, RD, IBCLC

Individual provider Pediatric Nutrition Registered Dietitian · NPI 1265089361

Lacy Marie Amor, RD, IBCLC is a Pediatric Nutrition Registered Dietitian in Traverse City, Michigan. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since: 2019
Specialties on file: 2

What do these letters mean?

RD — Registered Dietitian: A credentialed nutrition professional.

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Practice location Address checks out

766 Indian Trail Blvd
Traverse City, MI 49686-3567
Phone: (231) 233-1774

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary)	Taxonomy 133V00000X
Pediatric Nutrition Registered Dietitian	Taxonomy 133VN1004X

Record details

NPI number	1265089361
Entity type	Individual (Type 1)
Gender	Female
Credentials	RD , IBCLC
Sole proprietor	Yes
NPI enumerated	August 22, 2019
Last updated in NPPES	July 7, 2021
Certification date	July 7, 2021