Lara L Clevenger, RD
NPI #1497013320 in New Smyrna Beach, Florida
Provider Information
- NPI Number
- 1497013320
- Entity Type
- Individual
- Name
- Lara L Clevenger, RD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dietitian, Registered
- Credential
- RD
- Enumeration Date
- Apr 28, 2012
- Last Updated
- Aug 11, 2025
Practice Location
- Address
- 404 UNITED DRIVE
- City
- New Smyrna Beach
- State
- Florida
- ZIP Code
- 32168
- Phone
- (386) 968-2170
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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