Heriberto Lara JR., ATC
NPI #1902294275 in Encinitas, California
Provider Information
- NPI Number
- 1902294275
- Entity Type
- Individual
- Name
- Heriberto Lara JR., ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Jan 8, 2015
- Last Updated
- Jan 8, 2015
Practice Location
- Address
- 800 SANTA FE DR
- City
- Encinitas
- State
- California
- ZIP Code
- 92024-3841
- Phone
- (760) 753-1121
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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