Michael David Lara, Md, PA

NPI #1467814061 in El Paso, Texas

Provider Information

NPI Number
1467814061
Entity Type
Organization
Organization Name
Michael David Lara, Md, PA
Primary Specialty
Surgery
Enumeration Date
Mar 23, 2016
Last Updated
May 11, 2016

Practice Location

Address
10175 GATEWAY BLVD W
Address 2
220
State
Texas
ZIP Code
79925-7618
Phone
(915) 383-6679

Authorized Official

Name
MICHAEL DAVID LARA, M.D.
Title
PRESIDENT/ OWNER
Phone
(915) 383-6679

Specialties & Taxonomy Codes

Specialty
Surgery

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