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1194299594
BRIAN N LARA
LAS CRUCES, NM
NPI
1194299594
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NM 55015)
Enumeration Date
2019-01-18
Last Update Date
2023-08-31
Business Address
BRIAN N LARA APRN-CNP
3485 NORTHRISE DR STE 1
LAS CRUCES, NM 88011-6839
Phone number: 575-382-2161
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Mailing Address
BRIAN N LARA APRN-CNP
4072 DEMOS AVE
LAS CRUCES, NM 88011-4209
Phone number: 575-644-9139
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