Individual provider · Type 1 NPI

Jonnathan Omar Cazares Lara, MD

Student in an Organized Health Care Education/Training Program · Commerce Charter Township, MI

NPI number 1912755232 Active

Practice location

1 William Carls Dr
Commerce Charter Township, MI 48382

Call (248) 937-5085 Map

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 1912755232

Jonnathan Omar Cazares Lara, MD's National Provider Identifier is 1912755232, issued on May 10, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Commerce Charter Township, MI. The record was last updated on Oct 2, 2024.