Mallory Gail Lavin, RDN, LD
NPI #1891400131 in Weldon Spring, Missouri
Provider Information
- NPI Number
- 1891400131
- Entity Type
- Individual
- Name
- Mallory Gail Lavin, RDN, LD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dietitian, Registered
- Credential
- RDN, LD
- Enumeration Date
- Jan 20, 2023
- Last Updated
- Jan 20, 2023
Practice Location
- Address
- 1043 WOLFRUM RD
- City
- Weldon Spring
- State
- Missouri
- ZIP Code
- 63304-7625
- Phone
- (314) 517-7669
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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