Miguel Lara

NPI 1073923884 · on the registry since 2014 · sole proprietor

Practice

Address: 3300 Northeast Expy Ne Bldg 7
Atlanta, GA 30341
Phone: (404) 695-0369
Organisation at this address: Urgent Psych
Neurolink Llc
Back 2 Motion
Multi Sport Orthotics
One-On-One Therapy Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 12

Registry record

Primary taxonomy: 246ZE0600X
246ZE0600X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-05-01

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