Individual
GEORGE P LARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS RCEP
Contact information
Practice address
3525 E LOUISE DR, SUITE 500, MERIDIAN, ID 83642-6302
(208) 706-7050
(208) 706-7059
Mailing address
3525 E. LOUISE DR, SUITE 500, MERIDIAN, ID 83642-6305
(208) 706-7050
(208) 706-7059
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
—
—
Other
Enumeration date
12/23/2011
Last updated
12/23/2011
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