Julian Lara, COA
NPI #1205354883 in Bolingbrook, Illinois
Provider Information
- NPI Number
- 1205354883
- Entity Type
- Individual
- Name
- Julian Lara, COA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician/Technologist - Ophthalmic Assistant
- Credential
- COA
- Enumeration Date
- Sep 5, 2017
- Last Updated
- Sep 5, 2017
Practice Location
- Address
- 550 E BOUGHTON RD STE 120
- City
- Bolingbrook
- State
- Illinois
- ZIP Code
- 60440-2193
- Phone
- (630) 783-9960
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Ophthalmic Assistant — Ophthalmic Assistant |
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