Individual
HOLLY LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
13915 BURNET RD, AUSTIN, TX 78728-6517
(512) 996-9559
Mailing address
13915 BURNET RD, AUSTIN, TX 78728-6517
(910) 375-2673
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
919225
TX
Other
Enumeration date
04/22/2020
Last updated
04/22/2020
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