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Individual

LARA SHANKAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN, CPNP-PC

Contact information

Practice address
19228 NW US HIGHWAY 441, HIGH SPRINGS, FL 32643-8783
(386) 454-1156
(360) 462-5914
Mailing address
19228 NW US HIGHWAY 441, HIGH SPRINGS, FL 32643-8783
(352) 792-5142

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11018641
FL

Other

Enumeration date
03/21/2022
Last updated
06/17/2025
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