Individual provider · Type 1 NPI
Marc Anthony Lara
Student in an Organized Health Care Education/Training Program · Decatur, TX
NPI number
1720569106
Active
Practice location
405 N Cates St
Decatur, TX 76234-1504
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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.
About NPI 1720569106
Marc Anthony Lara's National Provider Identifier is 1720569106, issued on Aug 23, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Decatur, TX. The record was last updated on Aug 23, 2018.