Individual provider · Type 1 NPI

Jennifer Lara, DO

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1093568628 Active

Practice location

160 E Erie Ave
Philadelphia, PA 19134-1011

Call (215) 427-5000 Map

Mailing address

1002 N 2nd St Unit 207
Philadelphia, PA 19123-1682

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1093568628

Jennifer Lara, DO's National Provider Identifier is 1093568628, issued on Apr 11, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Apr 11, 2024.