Individual
MR. JOSE RAMON LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
803 STERLING PL, BROOKLYN, NY 11216-3903
(855) 681-8700
Mailing address
122 NORTHCREEK DR, DURHAM, NC 27707-3360
(956) 763-9216
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
308492
NY
Other
Enumeration date
02/09/2018
Last updated
08/10/2021
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