Nicolas Lara, MD

NPI #1548721244 in Beale Afb, California

Provider Information

NPI Number: 1548721244
Entity Type: Individual
Name: Nicolas Lara, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: General Practice
Credential: MD
Enumeration Date: Mar 26, 2019
Last Updated: Aug 9, 2020

Practice Location

Address: 15301 WARREN SHINGLE RD
City: Beale Afb
State: California
ZIP Code: 95903-1905
Phone: (530) 634-2941

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
General Practice	208D00000X	Primary

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