Melissa Lara, PA-C
NPI #1609474303 in Fuquay Varina, North Carolina
Provider Information
- NPI Number
- 1609474303
- Entity Type
- Individual
- Name
- Melissa Lara, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Oct 14, 2020
- Last Updated
- Oct 14, 2020
Practice Location
- Address
- 1298 N MAIN ST
- City
- Fuquay Varina
- State
- North Carolina
- ZIP Code
- 27526-2615
- Phone
- (919) 590-4099
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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