Individual
LAURA BAZYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,LD/N
Contact information
Practice address
2771 MONUMENT RD STE 33, JACKSONVILLE, FL 32225-3524
(904) 450-6090
Mailing address
2771 MONUMENT RD STE 33, JACKSONVILLE, FL 32225-3524
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
702261
FL
133V00000X
Registered Dietitian
Primary
ND1200
FL
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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