Individual
LARA R PACKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN
Contact information
Practice address
1700 11TH ST W, WILLISTON, ND 58801-4500
(701) 713-8220
Mailing address
1700 11TH ST W, WILLISTON, ND 58801-4500
(701) 713-8220
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
R34506
ND
Other
Enumeration date
01/03/2025
Last updated
01/03/2025
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