Beverly Ann Lara, RPT

NPI #1760538748 in Lamar, Missouri

Provider Information

NPI Number: 1760538748
Entity Type: Individual
Name: Beverly Ann Lara, RPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: RPT
Enumeration Date: Jan 25, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1800 HEAGON ST
City: Lamar
State: Missouri
ZIP Code: 64759-2330
Phone: (417) 681-9006

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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