Lara, Julia Maria

Lara, Julia Maria is an individual health care provider with primary practice located at 110 S 17Th St , Harrisburg PA 17104-1123. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Lara, Julia Maria can be contacted via phone (717) 232-9971.

Contact Information

Primary practice address
110 S 17Th St Harrisburg PA 17104-1123
Phone: (717) 232-9971
Fax: (717) 920-3039
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X SP019117 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X SP019117 Pennsylvania

Profile Details

NPI number 1497236350
LBN Legal business name Lara, Julia Maria
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2018
Last updated Dec 8th, 2022 - about 4 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 1497236350 NPPES
Pennsylvania MEDICAID 102250300-0004

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