DIANA LAVEA LARA

WICHITA, KS
NPI1902699176
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: KS  53280)
Enumeration Date2025-05-28
Last Update Date2025-05-28
Business Address
DIANA LAVEA LARA
5500 E KELLOGG DR
WICHITA, KS 67218-1607
Phone number: 316-685-2221
Mailing Address
DIANA LAVEA LARA
5500 E KELLOGG DR
WICHITA, KS 67218-1607
Phone number: