Individual
LUCIANO DEE LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
920 W BROADWAY ST, HOBBS, NM 88240-5529
(575) 393-3168
(575) 397-4659
Mailing address
920 W BROADWAY ST, HOBBS, NM 88240-5529
(575) 393-3168
(575) 397-4659
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/10/2013
Last updated
07/10/2013
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