Individual
DR. JOSE LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2735 W UNION HILLS DR, SUITE 102, PHOENIX, AZ 85027-5033
(602) 973-1630
(602) 973-1667
Mailing address
2735 W UNION HILLS DR, SUITE 102, PHOENIX, AZ 85027-5033
(602) 973-1630
(602) 973-1667
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5303
AZ
Other
Enumeration date
07/07/2005
Last updated
05/20/2008
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