Lara, Summer Giana
Lara, Summer Giana is an individual health care provider with primary practice located at 2810 N Telshor Blvd , Las Cruces NM 88011-8230. She recently has only one registered license in Eye and Vision Services Providers / Pediatrics, which is considered as her primary health care specialty. Lara, Summer Giana can be contacted via phone (575) 523-2020.Contact Information
Primary practice address
2810 N Telshor Blvd
Las Cruces NM 88011-8230
Phone: (575) 523-2020
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Pediatrics | 152WP0200X | 695 | New Mexico |
Profile Details
NPI number | 1902188501 |
---|---|
LBN Legal business name | Lara, Summer Giana |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 9th, 2011 |
Last updated | Sep 20th, 2017 - about 8 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 | 1902188501 | NPPES |
New Mexico | Other | 695 | NEW MEXICO OPTOMETRY LICENSE |
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