KELLY ANDREW LARA

TUCSON, AZ
NPI1083008940
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208600000X Surgery
(Licence: AZ  64112)
Additional Taxonomies208600000X Surgery
(Licence: CA  A148544)
Enumeration Date2015-03-27
Last Update Date2023-08-02
Business Address
KELLY ANDREW LARA
10120 E OLD VAIL RD STE 100
TUCSON, AZ 85747-9414
Phone number: 520-989-8012
Mailing Address
KELLY ANDREW LARA
PO BOX 689022
FRANKLIN, TN 37068-9022
Phone number:
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