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Contact Information

NANCY A LARK, MSMS,MMS, RD, FAAMFM
510 HIGHLAND AVE STE 223
MILFORD, MI48381-1516
 Phone: 248-872-5574
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nutrition, Metabolic

133VN1006X 71 Registered Dietitian or Nutrition Professional
 

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Health Educator

174H00000X
 

Nutrition, Education

133NN1002X
 

Nutrition, Obesity and Weight Management

133VN1201X 71 Registered Dietitian or Nutrition Professional
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for NANCY A LARK · (Female)

NPI # 1992024632
Status Active
Credentials MSMS,MMS, RD, FAAMFM
Entity Individual
Enumeration date 05/20/2010
Last updated 03/18/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers Not Available
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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