Individual
LARA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2445 TRUXTUN RD STE 205, SAN DIEGO, CA 92106-6154
(619) 633-2119
Mailing address
4351 HAWK ST, SAN DIEGO, CA 92103-1318
(757) 676-9632
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
27321
MD
2251X0800X
Orthopedic Physical Therapist
Primary
297482
CA
Other
Enumeration date
02/21/2019
Last updated
08/08/2022
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