JACI LAKE, RD

RD

Registered Dietitian

NPI: 1235776816Individual

Specialties, Licenses & Credentials

Registered DietitianPrimary

Dietitian, Registered

Code: 133V00000X

164.006872(IL)

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Contact & Hours

Address: 432 N PLEASANT AVE
CENTRALIA, IL 62801
Phone: (618) 436-8114

Locations (2)

Practice Location

432 N PLEASANT AVE, CENTRALIA, IL

Practice Location

5 Good Samaritan Way, Mount Vernon, IL

Quick Facts

NPI: 1235776816
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 1
Locations: 2

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