Lara, Abby Jo

Lara, Abby Jo is an individual health care provider with primary practice located at 500 Clinic Dr , Hopkinsville KY 42240-4991. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lara, Abby Jo can be contacted via phone (270) 707-3354.

Contact Information

Primary practice address
500 Clinic Dr Hopkinsville KY 42240-4991
Phone: (270) 707-3354
Fax: (270) 707-3351
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3007353 Kentucky

Profile Details

NPI number 1003189267
LBN Legal business name Lara, Abby Jo
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2012
Last updated Dec 8th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003189267 NPPES
Kentucky MEDICAID 7100200240

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