Search › Georgia › 363A00000X
Idalid Lara
NPI 1063238533 · on the registry since 2024
Practice
- Address
- 3516 Marion Ct
Buford, GA 30519 - Phone
- (470) 546-2090
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Sex
- Female
- Record last updated
- 2024-11-29
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 Georgia