Individual
LARA TRAVIS MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP, MSN
Contact information
Practice address
2280 IVY RD STE 1303, CHARLOTTESVILLE, VA 22903-4977
(434) 243-5432
(434) 244-4454
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
0024168523
VA
363LA2100X
Acute Care Nurse Practitioner
Primary
0024168523
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982930459
—
VA
Enumeration date
10/19/2009
Last updated
07/14/2023
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