Individual
BRIAN N LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-CNP
Contact information
Practice address
3485 NORTHRISE DR STE 1, LAS CRUCES, NM 88011-6839
(575) 382-2161
Mailing address
4072 DEMOS AVE, LAS CRUCES, NM 88011-4209
(575) 644-9139
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
55015
NM
Other
Enumeration date
01/18/2019
Last updated
08/31/2023
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