Individual provider · Type 1 NPI

Lara Acedillo

Student in an Organized Health Care Education/Training Program · Millbrae, CA

NPI number 1720475577 Active

Practice location

165 Del Centro
Millbrae, CA 94030-2162

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
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 1720475577

Lara Acedillo's National Provider Identifier is 1720475577, issued on Apr 20, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Millbrae, CA. The record was last updated on Apr 20, 2015.