Individual
JUDITH LAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
421 BRADFORD AVE, HADDON TOWNSHIP, NJ 08108-1802
(856) 858-8908
Mailing address
421 BRADFORD AVE, HADDON TOWNSHIP, NJ 08108-1802
(856) 858-8908
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN005324
PA
Other
Enumeration date
04/03/2014
Last updated
04/03/2014
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