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Contact Information

LAUREN CLARK, MS, RD, LD, CNSC
910 E HOUSTON ST STE 320
TYLER, TX75702-8369
 Phone: 903-606-4300
 Fax: 903-606-1283
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Oncology

133VN1301X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for LAUREN CLARK · (Female)

NPI Number 1053032243
Status Active
Credentials MS, RD, LD, CNSC
Entity Individual
Enumeration date 09/07/2022
Last updated 02/15/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • TX License # DT81072
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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