DR. Jeanette Lara, DO
NPI #1265961114 in Chaparral, New Mexico
Provider Information
- NPI Number
- 1265961114
- Entity Type
- Individual
- Name
- DR. Jeanette Lara, DO
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Family Medicine
- Credential
- DO
- Enumeration Date
- Jun 5, 2017
- Last Updated
- Dec 11, 2020
Practice Location
- Address
- 204 ANGELINA BLVD
- City
- Chaparral
- State
- New Mexico
- ZIP Code
- 88081-7558
- Phone
- (758) 248-1005
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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Organizations
| Provider Name | |
|---|---|
| County Line Medical Service INC |
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