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Individual

LUCY LAVINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
12757 VENICE BLVD APT 8, LOS ANGELES, CA 90066-3799
(908) 721-7237
Mailing address
12757 VENICE BLVD APT 8, LOS ANGELES, CA 90066-3799
(908) 721-7237

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86081359
CA

Other

Enumeration date
09/05/2023
Last updated
09/05/2023
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