Individual
MICHAEL DAVID LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1655 MOSSWOOD, EL PASO, TX 79935-3435
(915) 591-7700
(915) 591-3170
Mailing address
1655 MOSSWOOD, EL PASO, TX 79935-3435
(915) 591-7700
(915) 591-3170
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
L8406
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168612301
—
TX
Enumeration date
04/21/2006
Last updated
11/27/2018
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