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Alex Lara

NPI 1558068213 · on the registry since 2023 · sole proprietor

Practice

Address
13527 Crape Myrtle Dr
Moreno Valley, CA 92553
Phone
(951) 421-5678
Fax
(951) 421-5678

Registry record

Primary taxonomy
2471M1202X
2471M1202X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-02-13

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 California