Individual
NANCY ANN LARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSMS,MMS, RD, FAAMFM
Contact information
Practice address
510 HIGHLAND AVE STE 223, MILFORD, MI 48381-1516
(248) 872-5574
Mailing address
510 HIGHLAND AVE STE 223, MILFORD, MI 48381-1516
(248) 872-5574
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
—
—
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
—
—
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
—
174400000X
Specialist
—
—
174H00000X
Health Educator
—
—
Other
Enumeration date
05/20/2010
Last updated
03/18/2025
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