Individual
LARA MARIE HELENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2500 S HAVANA ST, AURORA, CO 80014-1618
(303) 748-8153
Mailing address
2500 S HAVANA ST, AURORA, CO 80014-1618
(303) 748-8153
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
1619515
CO
Other
Enumeration date
07/15/2016
Last updated
07/15/2016
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