ERIC LARA

MUNSTER, IN
NPI1245944198
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71014733A)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: IN  F0220799)
Enumeration Date2023-01-05
Last Update Date2023-12-12
Business Address
ERIC LARA FNP-C
9445 CALUMET AVE
MUNSTER, IN 46321-2811
Phone number: 219-836-2055
Mailing Address
ERIC LARA FNP-C
8558 BROADWAY
MERRILLVILLE, IN 46410-7032
Phone number: 219-739-2070