Individual
MRS. LARA K PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD CDE
Contact information
Practice address
275 ROUTE 30 N, BOMOSEEN, VT 05732-9647
(802) 468-5641
(802) 468-2923
Mailing address
275 ROUTE 30 N, BOMOSEEN, VT 05732-9647
(802) 468-5641
(802) 468-2923
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
871969
VT
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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