Provider Demographics
NPI:1326183070
Name:LOMAZOV, NATALIE ERIN (RD , CDE)
Entity Type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:ERIN
Last Name:LOMAZOV
Suffix:
Gender:F
Credentials:RD , CDE
Other - Prefix:MRS
Other - First Name:NATALIE
Other - Middle Name:ERIN
Other - Last Name:LOMAZOV-TAYLOR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RD, CDE
Mailing Address - Street 1:13330 VIA MILAZZO UNIT 2
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92129-5144
Mailing Address - Country:US
Mailing Address - Phone:858-243-3405
Mailing Address - Fax:619-740-4415
Practice Address - Street 1:13330 VIA MILAZZO UNIT 2
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92129-5144
Practice Address - Country:US
Practice Address - Phone:858-243-3405
Practice Address - Fax:619-740-4415
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered