Individual
LARA HOULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CNSC, LEC
Contact information
Practice address
1 HOAG DR, NEWPORT BEACH, CA 92663-4162
(949) 764-8205
Mailing address
38 ABRIGO, RANCHO SANTA MARGARITA, CA 92688-2027
(949) 306-9979
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
CA
Other
Enumeration date
04/24/2020
Last updated
08/31/2023
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