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Alfonso Lara
NPI 1639997141 · on the registry since 2024 · sole proprietor
Practice
- Address
- 1730 Washington St
Waukegan, IL 60085 - Phone
- (224) 374-8792
- Organisation at this address
- Independence Center
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Sex
- Male
- Record last updated
- 2024-10-02
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 Illinois