Individual
LARA AREVALO TYLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
350 HARBOUR COVE DR APT 208, SPARKS, NV 89434-7866
(903) 237-9100
Mailing address
350 HARBOUR COVE DR APT 208, SPARKS, NV 89434-7866
(903) 237-9100
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
080531
IA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
3947
NV
Other
Enumeration date
12/21/2015
Last updated
10/03/2019
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