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Danette Lara

NPI 1104550813 · on the registry since 2022 · sole proprietor

Practice

Address
414 N Potter St
Gorman, TX 76454
Phone
(254) 734-5196

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Also registered as
2255A2300X
390200000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-07-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas