IndividualActive
Lacey Mcmillian
NPI 1104411156 · Renal Nutrition Registered Dietitian · Red Oak, TX
Provider details
- NPI number
- 1104411156
- Entity type
- Individual
- Primary specialty
- Renal Nutrition Registered DietitianDietary & Nutritional Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 86032981 (KS)
Mailing address
111 Laurel Oak Dr
Red Oak, TX 75154-4634
Registry dates
- Enumerated
- 2021-03-02
- Last updated
- 2021-03-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.