NPI 1093105124
Kelly Lazzell, RD
Practice location
- Address
- 600 N Jordan Ave, Bloomington, IN 47405-3190
- Phone
- (812) 855-4011
- Mailing address
- 526 N Grant St 3a, Bloomington, IN 47408-3665
Registered specialties
Registered Dietitian
Primary
Registry record
- NPI
- 1093105124
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 27 Jan 2015
- Record last updated
- 27 Jan 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.