Individual
LYDIE HAZAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8500 WILSHIRE BLVD, #700, BEVERLY HILLS, CA 90211
(310) 289-8242
(310) 289-8248
Mailing address
8500 WILSHIRE BLVD, #700, BEVERLY HILLS, CA 90211
(310) 289-8242
(310) 289-8248
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
A53116
CA
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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