Lacy Jo Wilson, RD is a
Dietitian, Registered based in Poseyville, Indiana. Lacy Jo Wilson is licensed to practice in Indiana (license number 37002126A) and her current practice location is
10 W Fletchall St, Poseyville, Indiana. She can be reached at her office (for appointments etc.) via phone at
(618) 926-3576.
NPI number for Lacy Jo Wilson is 1407705296 and her current mailing address is 10 W Fletchall St, Poseyville, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1407705296.
Healthcare Provider's Profile
| Full Name | Lacy Jo Wilson |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 10 W Fletchall St, Poseyville, Indiana |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1407705296
- Provider Enumeration Date: 01/24/2026
- Last Update Date: 01/24/2026
Medical Identifiers
Medical identifiers for Lacy Jo Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1407705296 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | 296522 (Kentucky) | Secondary |
| 133V00000X | Dietitian, Registered | 37002126A (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lacy Jo Wilson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Lacy Jo Wilson, RD 10 W Fletchall St, Poseyville, IN 47633-9015 Ph: Not Available | Lacy Jo Wilson, RD 10 W Fletchall St, Poseyville, IN 47633-9015 Ph: (618) 926-3576 |
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