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1467814061
MICHAEL DAVID LARA, MD, PA
EL PASO, TX
NPI
1467814061
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Entity Type
Organization
Authorized Contact
MICHAEL DAVID LARA
President/ Owner
915-383-6679
Organization Subpart ?
No
Primary Taxonomy
208600000X Surgery
(Licence: TX L8406)
Enumeration Date
2016-03-23
Last Update Date
2016-05-11
Business Address
MICHAEL DAVID LARA, MD, PA
10175 GATEWAY BLVD W 220
EL PASO, TX 79925-7618
Phone number: 915-383-6679
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Mailing Address
MICHAEL DAVID LARA, MD, PA
1655 MOSSWOOD ST
EL PASO, TX 79935-3435
Phone number: 915-383-6679
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