Individual
MRS. JESSICA LYNN LARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
2861 W 120TH AVE, WESTMINSTER, CO 80234-2987
(720) 295-1229
Mailing address
2861 W 120TH AVE, WESTMINSTER, CO 80234-2987
(720) 295-1229
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0003739
CO
Other
Enumeration date
08/10/2013
Last updated
10/17/2016
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