NICOLAS LARA MD NPI 1548721244

NPI Information

NPI: 1548721244
Provider Name: NICOLAS LARA, MD
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
15301 WARREN SHINGLE RD
BEALE AFB, CA
ZIP 95903
Phone: (530) 634-2941
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Nicolas Lara, MD is a general practice in Beale Afb, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Nicolas Lara, MD NPI is 1548721244. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

15301 WARREN SHINGLE RD
BEALE AFB, CA
ZIP 95903-905
Phone: (530) 634-2941

The NPI 1548721244 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/26/2019 and was last updated on 8/9/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		125.074068	ILLINOIS	No
2	208D00000X	General Practice		01084450A	INDIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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