Xavier David Lara, M.D.
Psychiatry & Neurology, Psychiatry in Fresno, CA. Individual provider (NPI-1).
NPI number1700993003
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1700993003
- Entity type
- Individual (NPI-1)
- Name
- Xavier David Lara
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 23, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | A76215 | CA | Yes |
Practice location
4441 E Kings Canyon RdFresno, CA 93702-3604
Phone 559-453-6599 · Fax 559-453-8234
Mailing address
Po Box 11800Fresno, CA 93775-1800
Phone 559-453-6599 · Fax 559-453-8234
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