Individual
NANCY LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
343 N. CARLISLE AVE, SOMERTON, AZ 85350
(928) 341-6000
Mailing address
PO BOX 3200, SOMERTON, AZ 85350-3200
(928) 988-1146
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
SLPA13869
AZ
235Z00000X
Speech-Language Pathologist
Primary
—
AZ
Other
Enumeration date
08/09/2022
Last updated
11/03/2025
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