| Lara Lynne Clevenger, MSH, RD, LD/N | |
|
3588 Omni Cir, Edgewater, FL 32141-7114 | |
| (386) 689-8217 | |
| Not Available |
| Full Name | Lara Lynne Clevenger |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 3588 Omni Cir, Edgewater, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497013320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | ND6015 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lara Lynne Clevenger, MSH, RD, LD/N 3223 Kumquat Dr, Edgewater, FL 32141-6813 Ph: (386) 689-8217 | Lara Lynne Clevenger, MSH, RD, LD/N 3588 Omni Cir, Edgewater, FL 32141-7114 Ph: (386) 689-8217 |
Stephanie L Stratton-boone, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 109 W Knapp Ave, Edgewater, FL 32132 Phone: 386-427-4544 Fax: 386-427-8688 | |
Omni Nutrition, Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3588 Omni Cir, Edgewater, FL 32141 Phone: 386-968-2170 | |
Kelly Koons, RD, CDE, LD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 109 W Knapp Ave, Edgewater, FL 32132 Phone: 386-427-4544 Fax: 386-427-8688 | |
Ms. Mary E. Curtiss, RD,CDE Dietitian Medicare: Medicare Enrolled Practice Location: 104 W. Knapp Ave, Edgewater, FL 32132 Phone: 386-427-4544 |