Lara, Mary

Lara, Mary is an sole proprietor health care provider with primary practice located at 9338 S 48Th St , Franklin WI 53132-7613. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Lara, Mary can be contacted via phone (414) 617-0710.

Contact Information

Primary practice address

9338 S 48Th St Franklin WI 53132-7613

Phone: (414) 617-0710

Fax:

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Nursing Service Providers / Registered Nurse	163W00000X		Wisconsin

Profile Details

NPI number	1912171406
LBN Legal business name	Lara, Mary
Credentials	Registered Nurse (RN)
Entity	Individual
Sole proprietor ¹	Yes
Enumeration date	Apr 16th, 2008
Last updated	Apr 16th, 2008 - about 18 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

State	Type	Number	Issuer
All States	NPI	1912171406	NPPES
Wisconsin	MEDICAID	38202800

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