Lara S Matty
NPI #1053903153 in Lakeside, California
Provider Information
- NPI Number
- 1053903153
- Entity Type
- Individual
- Name
- Lara S Matty
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Feb 9, 2021
- Last Updated
- Oct 16, 2025
Practice Location
- Address
- 9149 SINGLE OAK DR
- City
- Lakeside
- State
- California
- ZIP Code
- 92040-4521
- Phone
- (714) 306-9969
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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