Individual
DANIEL LARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6501 COYLE AVE, CARMICHAEL, CA 95608-0306
(916) 681-6000
Mailing address
6501 COYLE AVE, CARMICHAEL, CA 95608-0306
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A17783
CA
Other
Enumeration date
05/16/2018
Last updated
09/01/2022
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