Individual
DYAN YANUARIA LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
1111 MEDICAL PLAZA DR STE 250, THE WOODLANDS, TX 77380-3477
(281) 296-8788
Mailing address
1111 MEDICAL PLAZA DR STE 250, THE WOODLANDS, TX 77380-3477
(281) 296-8788
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1099373
TX
Other
Enumeration date
11/23/2022
Last updated
11/23/2022
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