Mallory Gail Lavin, RDN, LD is a
Dietitian, Registered based in Weldon Spring, Missouri. Mallory Gail Lavin is licensed to practice in Missouri (license number 2015026928) and her current practice location is
1043 Wolfrum Rd, Weldon Spring, Missouri. She can be reached at her office (for appointments etc.) via phone at
(314) 517-7669.
NPI number for Mallory Gail Lavin is 1891400131 and her current mailing address is 617 Derek Dr, Wentzville, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1891400131.
Healthcare Provider's Profile
Full Name | Mallory Gail Lavin |
---|
Gender | Female |
---|
Speciality | Dietitian, Registered |
---|
Location | 1043 Wolfrum Rd, Weldon Spring, Missouri |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1891400131
- Provider Enumeration Date: 01/20/2023
- Last Update Date: 01/20/2023
Medical Identifiers
Medical identifiers for Mallory Gail Lavin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891400131 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 2015026928 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mallory Gail Lavin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mallory Gail Lavin, RDN, LD 617 Derek Dr, Wentzville, MO 63385-6843 Ph: (636) 866-5593 | Mallory Gail Lavin, RDN, LD 1043 Wolfrum Rd, Weldon Spring, MO 63304-7625 Ph: (314) 517-7669 |
Reviews and Comments