MR. ABEL LARA JR.
Military Health Care Provider - Independent Duty Corpsman
Active
Individual
NPI: 1114064920
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Emergency Medical Technician, Basic | 146N00000X | No | B1581660 (CA) |
| Military Health Care Provider - Independent Duty Corpsman | 1710I1002X | Yes | - |
Frequently Asked Questions
NPI 1114064920 is the National Provider Identifier for MR. ABEL LARA JR., a Military Health Care Provider - Independent Duty Corpsman provider located in San Diego, CA. This NPI was enumerated on January 31, 2007.
MR. ABEL LARA JR. practices at 2710 N HARBOR DR, San Diego, CA 92101.
Quick Facts
- NPI
- 1114064920
- Type
- Individual
- Enumerated
- Jan 31, 2007
- Last Updated
- Sep 11, 2025
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