Individual
LARA E STOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2275 NE DOCTORS DR STE 7, BEND, OR 97701-6324
(541) 706-3780
(541) 706-4581
Mailing address
2500 NE NEFF RD, BEND, OR 97701-6015
(541) 706-3780
(541) 706-4581
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN0994500
CO
Other
Enumeration date
09/24/2019
Last updated
10/28/2021
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