Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEANETTE LARA, DO
Active Sole ProprietorDR. JEANETTE LARA, DO is a Family Medicine healthcare provider located in CHAPARRAL, New Mexico. NPI 1265961114 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · CHAPARRAL, NM
Registration Details
- NPI Number
- 1265961114
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 5, 2017 (9.1886992614822 yrs)
- Last Updated
- Dec 11, 2020
- Licenses
-
R-25-2017 (NM)A-2410-20 (NM)
- Sole Proprietor
- Yes
Practice Information
- Address
-
204 ANGELINA BLVDCHAPARRAL, NM, 880817558Browse NM providers · Browse ZIP 88081
- Phone
- 7582481005
- Fax
- 5758248101
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in CHAPARRAL, NM
| Name | Credential | NPI |
|---|---|---|
| DR. KYONG YOL KO | M.D. | 1720083322 |
| GASTON ALBERTO BERRIOS | M.D. | 1447450002 |
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.