Individual
ALEJANDRA LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ESMHL, EAGALA ES
Contact information
Practice address
750 N FREEDOM BLVD, PROVO, UT 84601-1677
(801) 373-4760
(801) 373-0639
Mailing address
750 N FREEDOM BLVD, PROVO, UT 84601-1677
(801) 373-4760
(801) 373-0639
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
174H00000X- HEALTH E
UT
Other
Enumeration date
02/20/2016
Last updated
02/20/2016
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