IndividualActive
Nancy Lark, MSMS,MMS, RD, FAAMFM
NPI 1992024632 · Metabolic Nutrition Registered Dietitian · Milford, MI
Provider details
- NPI number
- 1992024632
- Entity type
- Individual
- Primary specialty
- Metabolic Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- MSMS,MMS, RD, FAAMFM
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Dietary & Nutritional Service Providers
- Health Educator174H00000X
Other Service Providers
- Nutrition Education Nutritionist133NN1002X
Dietary & Nutritional Service Providers
- Registered Dietitian133V00000X
Dietary & Nutritional Service Providers
Dietary & Nutritional Service Providers
- Specialist174400000X
Other Service Providers
Practice location
510 Highland Ave Ste 223
Milford, MI 48381-1516
Phone: (248) 872-5574
Approximate (ZIP-level) locationGet directions
Mailing address
510 Highland Ave Ste 223
Milford, MI 48381-1516
Registry dates
- Enumerated
- 2010-05-20
- Last updated
- 2025-03-18
- Certified
- 2025-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.