Individual provider · Type 1 NPI

Michael Lara

Driver · Huntington Beach, CA

NPI number 1033455753 Active

Practice location

1714 Alabama St
Huntington Beach, CA 92648-3124

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XD4622640 (CA)

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1033455753

Michael Lara's National Provider Identifier is 1033455753, issued on Dec 28, 2012. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Huntington Beach, CA. The record was last updated on Dec 31, 2012.