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Juan Lara
NPI 1760820245 · on the registry since 2013 · sole proprietor
Practice
- Address
- 1202 Corpus Christi St.
Laredo, TX 78040 - Phone
- (956) 568-1572
- Fax
- (956) 568-4720
- Organisation at this address
- Juan Lara
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 332B00000X
332B00000X
- Also registered as
- 332B00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-05-21
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 Texas