| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MELISSA LARA | 1114747417 | 2024-10-12 |
Melissa Lara is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1114747417. Registration indicates Melissa Lara is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
| Entity Type | Individual |
| Provider Name | Melissa Lara |
| Practice Office Address | 3300 S UNIVERSITY DR FT LAUDERDALE, FL US |
| Practice Office Telephone | 8005416682 |
| Mailing Address | 5941 E 2ND AVE HIALEAH, FL 330131215 US |
| Code | Practice | License No State |
|---|---|---|
| 390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |