Lara, Vanessa

Lara, Vanessa is an individual health care provider with primary practice located at 10400 Mallard Creek Rd Ste 300 , Charlotte NC 28262-5211. She recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutritionist. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Lara, Vanessa can be contacted via phone (305) 613-9141.

Contact Information

Primary practice address
10400 Mallard Creek Rd Ste 300 Charlotte NC 28262-5211
Phone: (305) 613-9141
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AL3919 Florida
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DX9856 Maryland
Dietary & Nutritional Service Providers / Nutritionist 133N00000X ND10461 Florida

Profile Details

NPI number 1558770800
LBN Legal business name Lara, Vanessa
Credentials PHD, CNS, LDN,LN
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2014
Last updated Oct 24th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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