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Individual
LARA MARIE CELLI
Active
Individual
LARA MARIE CELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
705211
CA
363LF0000X
Family Nurse Practitioner
Primary
95009171
CA
Other
Enumeration date
08/14/2014
Last updated
09/19/2018
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