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Individual
RAFAEL A. LARA
Active
Individual
RAFAEL A. LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00007560
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1041779
—
WA
Enumeration date
03/17/2010
Last updated
10/19/2025
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