Lara Anne Powell

NPI #1912633835 in Fort Carson, Colorado

Provider Information

NPI Number
1912633835
Entity Type
Individual
Name
Lara Anne Powell
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Enumeration Date
Jul 25, 2022
Last Updated
Jul 25, 2022

Practice Location

Address
1667 COCHRANE CIR BLDG 7495
ZIP Code
80913-4603
Phone
(719) 526-5537

Specialties & Taxonomy Codes

Specialty
Dentist

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