Individual
LARA JOY NAKAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1308 DEKALB ST, NORRISTOWN, PA 19401-3404
(610) 279-8686
(610) 279-1588
Mailing address
1308 DEKALB ST, NORRISTOWN, PA 19401-3404
(610) 279-8686
(610) 279-1588
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110004556
VA
363A00000X
Physician Assistant
Primary
MA051881
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50051163
BLUE CROSS
PA
Enumeration date
08/01/2006
Last updated
11/22/2023
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