Individual
SARA LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3980 HIGHWAY 9 E STE 340, LITTLE RIVER, SC 29566-8165
(843) 390-8302
(843) 390-8315
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 777-7120
(843) 777-7102
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19974
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP4304
—
SC
Enumeration date
03/03/2016
Last updated
10/20/2021
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