Individual
MRS. DANNA KAY LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1745 AVENIDA DE MERCADO, LAS CRUCES, NM 88005
(575) 224-2552
(575) 224-6858
Mailing address
7600 WATERHOLE CYN, LAS CRUCES, NM 88011-8409
(940) 594-6415
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
66452
NM
Other
Enumeration date
01/04/2022
Last updated
08/22/2022
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