Individual
DR. SUMMER GIANA LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2810 N TELSHOR BLVD, LAS CRUCES, NM 88011-8230
(575) 523-2020
Mailing address
2810 N TELSHOR BLVD, LAS CRUCES, NM 88011
(575) 523-2020
Taxonomy
Speciality
Code
Description
License number
State
152WP0200X
Pediatric Optometrist
Primary
695
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
695
NEW MEXICO OPTOMETRY LICENSE
NM
Enumeration date
09/09/2011
Last updated
09/20/2017
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