Individual
LUISA LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 18TH AVE N, MINNEAPOLIS, MN 55411-3303
(612) 718-4788
Mailing address
311 UNIVERSITY AVE NE APT 101, MINNEAPOLIS, MN 55413-2078
(612) 718-4788
(612) 378-3884
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
MN
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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