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Individual

LARA ALONSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
3662 W INA RD STE 150, TUCSON, AZ 85741-2269
(520) 912-4242
Mailing address
3662 W INA RD STE 150, TUCSON, AZ 85741-2269

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP10620
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AP10620
N/A
AZ
Enumeration date
09/26/2017
Last updated
06/11/2019
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