Individual provider · Type 1 NPI

Jorge Eduardo Lara Endara, MD

Student in an Organized Health Care Education/Training Program · Albuquerque, NM

NPI number 1407592389 Active

Practice location

MSC10-5550 1UNIVERSITY Of New Mexico
Albuquerque, NM 87131

Call (505) 272-4661 Map

Fax (505) 272-0475

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 1407592389

Jorge Eduardo Lara Endara, MD's National Provider Identifier is 1407592389, issued on May 12, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Albuquerque, NM. The record was last updated on Nov 29, 2022.