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Individual
LARA TRAVIS MYERS
Active
Individual
LARA TRAVIS MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP, MSN
Taxonomy
Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
0024168523
VA
363LA2100X
Acute Care Nurse Practitioner
Primary
0024168523
VA
Other
Enumeration date
10/19/2009
Last updated
07/14/2023
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