Individual
CHRISTIAN LOUIS LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
23161 MILL CREEK DR STE 230, LAGUNA HILLS, CA 92653-7935
(657) 261-7140
Mailing address
23161 MILL CREEK DR STE 230, LAGUNA HILLS, CA 92653-7935
(657) 261-7140
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
41370
CA
Other
Enumeration date
06/13/2023
Last updated
11/01/2023
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