| NPI | 1346414745 |
|---|---|
| Former Name | LARA LYN NELSON-JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11004624) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 25042) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 33103) | |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2024-05-08 |