NPI 1063782340

Lara K Peck, RDCDE

Practitioner Registered Dietitian Bomoseen, VT

Practice location

Address: 275 Route 30 N, Bomoseen, VT 05732-9647
Phone: (802) 468-5641
Fax: (802) 468-2923

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 871969 (VT)

Other Dietitian, Registered providers in Vermont →

Registry record

NPI: 1063782340
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Jan 2012
Record last updated: 4 Jan 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.