Xandrea Elizabeth Lara
NPI #1992207492 in Georgetown, Texas
Provider Information
- NPI Number
- 1992207492
- Entity Type
- Individual
- Name
- Xandrea Elizabeth Lara
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- Mar 1, 2018
- Last Updated
- Mar 1, 2018
Practice Location
- Address
- 900 JASMINE TRL
- City
- Georgetown
- State
- Texas
- ZIP Code
- 78626-4779
- Phone
- (512) 630-4090
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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