Individual
RAYMOND R LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
201 N COURT ST, VISALIA, CA 93291-4918
(559) 627-2046
(559) 627-9079
Mailing address
201 N COURT ST, VISALIA, CA 93291-4918
(559) 627-2046
(559) 627-9079
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT23779
CA
Other
Enumeration date
11/14/2006
Last updated
06/15/2012
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