Provider Demographics
NPI:1386512812
Name:GIUSTI, LARA DANIELLE
Entity type:Individual
Prefix:
First Name:LARA
Middle Name:DANIELLE
Last Name:GIUSTI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 CECELIA LN
Mailing Address - Street 2:
Mailing Address - City:NOVATO
Mailing Address - State:CA
Mailing Address - Zip Code:94947-2000
Mailing Address - Country:US
Mailing Address - Phone:415-246-6959
Mailing Address - Fax:
Practice Address - Street 1:1430 JOHNSON ST
Practice Address - Street 2:
Practice Address - City:NOVATO
Practice Address - State:CA
Practice Address - Zip Code:94947-4459
Practice Address - Country:US
Practice Address - Phone:415-246-6959
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-27
Last Update Date:2025-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach