Lara, Xandrea Elizabeth

Lara, Xandrea Elizabeth is an sole proprietor health care provider with primary practice located at 900 Jasmine Trl , Georgetown TX 78626-4779. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is her primary health care specialty. Lara, Xandrea Elizabeth can be contacted via phone (512) 630-4090.

Contact Information

Primary practice address
900 Jasmine Trl Georgetown TX 78626-4779
Phone: (512) 630-4090
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1992207492
LBN Legal business name Lara, Xandrea Elizabeth
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2018
Last updated Mar 1st, 2018 - about 6 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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