Melissa Lara
Registered Nurse in Nanuet, NY. Individual provider (NPI-1).
NPI number1124600549
StatusActive
Last updated in NPPESApr 26, 2021
Details
- NPI
- 1124600549
- Entity type
- Individual (NPI-1)
- Name
- Melissa Lara
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 26, 2021
- Certification date
- Apr 26, 2021
- Last updated
- Apr 26, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 803766 | NY | Yes |
Practice location
20 Old Turnpike RdNanuet, NY 10954-2532
Phone 845-239-0249
Mailing address
20 Old Turnpike RdNanuet, NY 10954-2532
Phone 845-239-0249
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