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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SANDRA LARE, D.O.

Active Sole Proprietor

DR. SANDRA LARE, D.O. is a Psychiatry healthcare provider located in CALDWELL, Idaho. NPI 1073699559 is currently active in the NPPES registry. Verify at CMS.

Psychiatry · CALDWELL, ID

Registration Details

NPI Number
1073699559
Provider Type
Individual
Gender
Female
NPI Issued
Oct 27, 2006 (19.752920334674 yrs)
Last Updated
Feb 23, 2021
Licenses
20A7836 (CA)
0479 (SC)
2005-01564 (NC)
Sole Proprietor
Yes

Practice Information

Address
2609 S 10TH AVE STE 102
CALDWELL, ID, 836056885
Browse ID providers · Browse ZIP 83605
Phone
2084542766
Primary Specialty
Psychiatry
2084P0800X
Additional Specialty
Psychiatry
Additional Specialty
Psychiatry

Other Psychiatry Providers in CALDWELL, ID

Name Credential NPI
LAWRENCE ESTEL BANTA M.D. 1568440295
DR. L. MARK KIMSEY M.D. 1528022084
DR. RICHARD A. MONTGOMERY M.D. 1275567638
DR. ALFRED F BREM DO 1427187848
COLT KENNINGTON 1386106268
DANIEL RULON ANDERSON PMHNP-BC 1790518751
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.