Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DANETTE LARA
Active Sole ProprietorDANETTE LARA is a Athletic Trainer healthcare provider located in GORMAN, Texas. NPI 1104550813 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · GORMAN, TX
Registration Details
- NPI Number
- 1104550813
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 11, 2022 (4.1207043033773 yrs)
- Last Updated
- Jul 11, 2022
- License
-
40674922 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
414 N POTTER STGORMAN, TX, 764547645Browse TX providers · Browse ZIP 76454
- Phone
- 2547345196
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Athletic Trainer
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.