Lara, Abby Jo
Lara, Abby Jo is an individual health care provider with primary practice located at 500 Clinic Dr , Hopkinsville KY 42240-4991. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lara, Abby Jo can be contacted via phone (270) 707-3354.Contact Information
Primary practice address
500 Clinic Dr
Hopkinsville KY 42240-4991
Phone: (270) 707-3354
Fax: (270) 707-3351
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 3007353 | Kentucky |
Profile Details
| NPI number | 1003189267 |
|---|---|
| LBN Legal business name | Lara, Abby Jo |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 20th, 2012 |
| Last updated | Dec 8th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003189267 | NPPES |
| Kentucky | MEDICAID | 7100200240 |
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