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1053903153
LARA S MATTY
LAKESIDE, CA
NPI
1053903153
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2021-02-09
Last Update Date
2025-10-16
Business Address
LARA S MATTY
9149 SINGLE OAK DR
LAKESIDE, CA 92040-4521
Phone number: 714-306-9969
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Mailing Address
LARA S MATTY
9149 SINGLE OAK DR
LAKESIDE, CA 92040-4521
Phone number:
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