Individual
MRS. LARA K MAIRS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
520 3RD ST NW, JAMESTOWN, ND 58401-2968
(701) 253-6300
(701) 253-6400
Mailing address
PO BOX 2055, JAMESTOWN, ND 58402-2055
(701) 253-6300
(701) 253-6400
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R25864
ND
Other
Enumeration date
10/21/2013
Last updated
10/21/2013
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