Individual
LARA KLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
ROUTE N12 & N7, FORT DEFIANCE, AZ 86504
(928) 729-8616
(928) 729-8624
Mailing address
PO BOX 93, FORT DEFIANCE, AZ 86504-0093
(928) 499-4695
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
139694
AZ
Other
Enumeration date
11/15/2022
Last updated
11/28/2022
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