Damian G Lara, MD

NPI #1124512702 in Bastrop, Texas

Provider Information

NPI Number: 1124512702
Entity Type: Individual
Name: Damian G Lara, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jun 18, 2018
Last Updated: Jun 9, 2022

Practice Location

Address: 622 W STATE HIGHWAY 71 STE 102
City: Bastrop
State: Texas
ZIP Code: 78602-4234
Phone: (512) 308-4311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Family Medicine	207Q00000X	Primary

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