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Individual

MRS. PAMELA ANN LAZAROFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD,LD

Contact information

Practice address
12680 OLIVE BLVD, SUITE 10, SAINT LOUIS, MO 63141-6322
(314) 251-8885
(314) 251-8881
Mailing address
206 N BEMISTON AVE, CLAYTON, MO 63105-3828
(314) 725-3569
(314) 725-3569

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
805017
MO

Other

Enumeration date
04/16/2007
Last updated
07/08/2007
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