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Individual

NICOLAS LOPEZ LARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
314 PLEASANT AVE S, PARK RAPIDS, MN 56470-1419
(218) 732-4466
Mailing address
314 PLEASANT AVE S, PARK RAPIDS, MN 56470-1419

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
MN

Other

Enumeration date
03/09/2026
Last updated
03/09/2026
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