Individual
LARA LASALA HARLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HAS
Contact information
Practice address
5380 PLEASANT AVE STE 1B, FAIRFIELD, OH 45014-3500
(513) 863-2938
(513) 785-4023
Mailing address
750 N COMMONS DR STE 200, AURORA, IL 60504-7940
(630) 303-5380
(630) 303-5385
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
03329
OH
Other
Enumeration date
01/13/2016
Last updated
05/20/2021
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