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Organization
JUAN LARA
Active
Organization
JUAN LARA
Active
Other names
J & R Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN E. LARA (PRESIDENT)
(956) 763-1175
Entity
Organization
Contact information
Practice address
1202 CORPUS CHRISTI ST, LAREDO, TX 78040-5353
(956) 763-1175
(956) 568-4720
Mailing address
1202 CORPUS CHRISTI ST, LAREDO, TX 78040-5353
(956) 568-1572
(956) 568-4720
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
12/27/2012
Last updated
05/23/2014
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