Individual
MRS. LAUREN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD, CNSC
Contact information
Practice address
910 E HOUSTON ST STE 320, TYLER, TX 75702-8369
(903) 606-4300
(903) 606-1283
Mailing address
910 E HOUSTON ST STE 270, TYLER, TX 75702-8367
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT81072
TX
133VN1301X
Oncology Nutrition Registered Dietitian
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—
Other
Enumeration date
09/07/2022
Last updated
02/15/2023
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