Lara Fass, B.A., LMBT, LE

NPI 1861736811 · on the registry since 2012 · sole proprietor

Practice

Address: 17039 Kenton Dr. Suite 104
Cornelius, NC 28031
Phone: (704) 896-2889
Organisation at this address: Keystone Chiropractic
Riva Aesthetic Dermatology, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 225700000X
225700000X
Licence states on file: NC
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2012-11-15

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 North Carolina