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Individual
IRMA A LARA
Active
Individual
IRMA A LARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
502460
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
502460
BNE ADVANCE PRACTICE LICE
TX
Enumeration date
05/21/2007
Last updated
09/22/2021
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