Individual provider · Type 1 NPI

Lara L. Clevenger, RD

Registered Dietitian · New Smyrna Beach, FL

NPI number 1497013320 Active

Practice location

404 United Drive
New Smyrna Beach, FL 32168

Call (386) 968-2170 Map

Fax (386) 310-0587

Mailing address

3126 Tamarind Drive
Edgewater, FL 32141

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000XND6015 (FL)

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1497013320

Lara L. Clevenger, RD's National Provider Identifier is 1497013320, issued on Apr 28, 2012. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in New Smyrna Beach, FL. The record was last updated on Aug 11, 2025.