Individual
LARA VIDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAPC
Contact information
Practice address
1 NORTHGATE SQ STE 210, GREENSBURG, PA 15601-1375
(412) 256-8256
(888) 971-4394
Mailing address
244 CENTER RD STE 301, MONROEVILLE, PA 15146-1789
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
APC001411
PA
Other
Enumeration date
07/03/2025
Last updated
07/18/2025
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