Individual
MS. CAROLINA LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 MOTOR AVE, LOS ANGELES, CA 90034-3740
(310) 836-1223
Mailing address
3200 MOTOR AVE, LOS ANGELES, CA 90034-3740
(310) 836-1223
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
40582
CA
167G00000X
Licensed Psychiatric Technician
Primary
LPT40582
CA
Other
Enumeration date
09/14/2017
Last updated
09/25/2020
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