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Individual

AMBER LAZAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
FORT CAMPBELL, FORT CAMPBELL, KS 42223
(717) 658-2780
Mailing address
209 DRAYTON DRIVE UNIT A, CLARKSVILLE, TN 37042
(717) 658-2780

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN008009
PA

Other

Enumeration date
08/08/2023
Last updated
08/08/2023
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