Individual
LAURIE BETH PAVLOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS RD LD
Contact information
Practice address
1607 SAINT JAMES CT, TALLAHASSEE, FL 32308-5352
(850) 878-0191
Mailing address
1607 SAINT JAMES CT, TALLAHASSEE, FL 32308-5352
(850) 878-0191
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND2581
FL
Other
Enumeration date
11/20/2012
Last updated
11/20/2012
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