Individual provider · Type 1 NPI

Melissa Lara, PA-C

Medical Physician Assistant · Fuquay Varina, NC

NPI number 1609474303 Active

Practice location

1298 N Main St
Fuquay Varina, NC 27526-2615

Call (919) 590-4099 Map

Mailing address

131 E Davie St Apt 530
Raleigh, NC 27601-3055

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X001010618 (NC)

Medical Physician Assistant: Definition to come...

3 other providers at this address

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About NPI 1609474303

Melissa Lara, PA-C's National Provider Identifier is 1609474303, issued on Oct 14, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fuquay Varina, NC. The record was last updated on Oct 14, 2020.