Individual
DR. NANETTE LARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.M
Contact information
Practice address
3303 CAMINO DE LA SIERRA NE, ALBUQUERQUE, NM 87111-5503
(505) 440-9103
(505) 293-0927
Mailing address
3303 CAMINO DE LA SIERRA NE, ALBUQUERQUE, NM 87111-5503
(505) 440-9103
(505) 293-0927
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
626
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
626
STATE LICENSE NUMBER
NM
Enumeration date
02/03/2007
Last updated
12/23/2020
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