Lara, Sara

Lara, Sara is an individual health care provider with primary practice located at 3980 Highway 9 E Ste 340 , Little River SC 29566-8165. 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, Sara can be contacted via phone (843) 390-8302.

Contact Information

Primary practice address
3980 Highway 9 E Ste 340 Little River SC 29566-8165
Phone: (843) 390-8302
Fax: (843) 390-8315
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 19974 South Carolina

Profile Details

NPI number 1326408386
LBN Legal business name Lara, Sara
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2016
Last updated Oct 20th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326408386 NPPES
South Carolina MEDICAID NP4304

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