Damian Lara

NPI #1902784077 in Freedom, California

Provider Information

NPI Number: 1902784077
Entity Type: Individual
Name: Damian Lara
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dietitian, Registered
Enumeration Date: Aug 26, 2025
Last Updated: Aug 26, 2025

Practice Location

Address: 315 FUCHSIA DR
City: Freedom
State: California
ZIP Code: 95019-3127
Phone: (831) 254-8387

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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