Lara, Kelly Andrew

Lara, Kelly Andrew is an sole proprietor health care provider with primary practice located at 10120 E Old Vail Rd Ste 100 , Tucson AZ 85747-9414. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Lara, Kelly Andrew can be contacted via phone (520) 989-8012.

Contact Information

Primary practice address
10120 E Old Vail Rd Ste 100 Tucson AZ 85747-9414
Phone: (520) 989-8012
Fax: (520) 989-8014
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X A148544 California
Allopathic & Osteopathic Physicians / Surgery 208600000X 64112 Arizona

Profile Details

NPI number 1083008940
LBN Legal business name Lara, Kelly Andrew
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 27th, 2015
Last updated Aug 2nd, 2023 - about 3 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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