Individual
ANDRES LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11949 Q ST, OMAHA, NE 68137-3503
(531) 999-1637
(833) 222-8134
Mailing address
985450 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-5450
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12888
NE
Other
Enumeration date
11/28/2018
Last updated
07/25/2023
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