Heraclio Lara JR.

NPI 1396943338 - Counselor - 101YA0400X

NPI Details
NPI 1396943338
Gender Male
Enumeration Date 07/10/2007
Last Updated 07/10/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
519 W TAYLOR ST SPC 319
SANTA MARIA CA, 93458-1048, US
Phone (805) 925-9811
Fax
Business Location
519 W TAYLOR ST SPC 319
SANTA MARIA CA, 93458-1048, US
Phone (805) 925-9811
Fax
Toxanomy
Taxonomy Code 101YA0400X
License State
License Number
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According to our database, Mr. Heraclio Lara JR. NPI is 1396943338, taxonomy code is 101YA0400X Heraclio Lara JR. physically located at 519 W Taylor St Spc 319, Santa Maria CA, 93458-1048. NPI Number Heraclio Lara JR. has the Individual type.

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1396943338 NPI number is provided on an as is basis without warranty of any kind. 1396943338 is maintained by the National Plan & Provider Enumeration System. The contents of Heraclio Lara JR. are for informational purposes only.