Individual
LACI OHARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 N. M.L.K. BLVD, CLOVIS, NM 88101-8810
(575) 762-4455
Mailing address
2301 N. MARTIN LUTHER KING JR. BLVD, CLOVIS, NM 88101
(757) 762-4455
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
64070
NM
Other
Enumeration date
07/02/2021
Last updated
07/02/2021
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