Individual
ALEXANDRIA J LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1821 N 16TH ST, MILWAUKEE, WI 53205-1626
(414) 977-0001
Mailing address
2645 N FARWELL AVE APT 110, MILWAUKEE, WI 53211-3785
(608) 331-0644
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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