Individual
ANNA ALLER LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1325 N 600 E STE 102, LOGAN, UT 84341-6744
(435) 753-9999
(435) 753-2301
Mailing address
1325 N 600 E STE 102, LOGAN, UT 84341-6744
(435) 753-9999
(435) 753-2301
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8170100-1206
UT
Other
Enumeration date
12/19/2011
Last updated
11/29/2016
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