Provider Demographics
NPI:1114642121
Name:MCCARTER, SARA LAVAN GUITAR (MS)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:LAVAN GUITAR
Last Name:MCCARTER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 WATTER'S CREEK BLVD.
Mailing Address - Street 2:BUILDING M, STE 250, #5732
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-3770
Mailing Address - Country:US
Mailing Address - Phone:972-891-9940
Mailing Address - Fax:
Practice Address - Street 1:825 WATTER'S CREEK BLVD.
Practice Address - Street 2:BUILDING M, STE 250, #5732
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-3770
Practice Address - Country:US
Practice Address - Phone:972-891-9940
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-12
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist