Individual
LILIA LARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 N F AVE, DOUGLAS, AZ 85607-1919
(520) 364-3285
Mailing address
1100 N F AVE, DOUGLAS, AZ 85607-1919
(520) 364-3285
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
279577
AZ
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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