Individual
LARA ALICIA MCKNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
4530 S CARSON ST STE 12, CARSON CITY, NV 89701-6914
(775) 267-2000
Mailing address
PO BOX 3186, CARSON CITY, NV 89702-3186
(775) 267-2000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD481
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100501811
—
NV
01
—
P00218425
RR #
NV
Enumeration date
08/10/2006
Last updated
12/03/2016
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