Lara, Carol Lynn
Lara, Carol Lynn is an individual health care provider with primary practice located at 5455 Almira Dr Ne , Bremerton WA 98311-8330. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Lara, Carol Lynn can be contacted via phone (360) 373-5031.Contact Information
Primary practice address
5455 Almira Dr Ne
Bremerton WA 98311-8330
Phone: (360) 373-5031
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X |
Profile Details
| NPI number | 1174055982 |
|---|---|
| LBN Legal business name | Lara, Carol Lynn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 30th, 2017 |
| Last updated | Mar 30th, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174055982 | NPPES |
| Other | 3009 | KITSAP MENTAL HEALTH EMPLOYEE IDENTIFICATION NUMBER |
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