Olivia Lara PNP

NPI 1962520999 - Nurse Practitioner - 363LP0200X

NPI Details
NPI 1962520999
Gender Female
Enumeration Date 03/27/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
455 S MAIN ST
ORANGE CA, 92868-3835, US
Phone (714) 532-8767
Fax (714) 289-4551
Business Location
455 S MAIN ST
ORANGE CA, 92868-3835, US
Phone (714) 532-8767
Fax (714) 289-4551
Toxanomy
Taxonomy Code 363LP0200X
License State California
License Number 247997
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According to our database, Olivia Lara PNP NPI is 1962520999, taxonomy code is 363LP0200X and license number is 247997, license state is located at California. Olivia Lara PNP physically located at 455 S Main St, Orange CA, 92868-3835. NPI Number Olivia Lara PNP has the Individual type.

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1962520999 NPI number is provided on an as is basis without warranty of any kind. 1962520999 is maintained by the National Plan & Provider Enumeration System. The contents of Olivia Lara PNP are for informational purposes only.