Individual
DR. DANIEL E LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
47 CLAIREDAN DR, POWELL, OH 43065-8064
(614) 505-8600
(614) 505-6025
Mailing address
2222 STRINGTOWN RD, GROVE CITY, OH 43123-2929
(614) 871-2273
(614) 871-3324
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3966
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0065298
—
OH
01
—
H091010
MEDICARE PTAN
OH
Enumeration date
02/28/2009
Last updated
07/05/2020
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