Black, Lara Kristine

Black, Lara Kristine is an individual health care provider with primary practice located at 227 W Drexel Ave , San Antonio TX 78210-2912. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Black, Lara Kristine can be contacted via phone (210) 731-1300.

Contact Information

Primary practice address
227 W Drexel Ave San Antonio TX 78210-2912
Phone: (210) 731-1300
Fax: (210) 738-8025
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 109710 Texas

Profile Details

NPI number 1679519078
LBN Legal business name Black, Lara Kristine
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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