Search › Florida › 133V00000X
Lara Clevenger, RD
NPI 1497013320 · on the registry since 2012 · sole proprietor
Practice
- Address
- 404 United Drive
New Smyrna Beach, FL 32168 - Phone
- (386) 968-2170
- Fax
- (386) 310-0587
- Organisation at this address
- Omni Nutrition Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 133V00000X
133V00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-08-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida