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Michael Lara
NPI 1033455753 · on the registry since 2012 · sole proprietor
Practice
- Address
- 1714 Alabama St
Huntington Beach, CA 92648 - Phone
- (714) 673-8327
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Driver
172A00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-12-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California