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Michael Lara
Driver in Huntington Beach, California
NPI 1033455753

Michael Lara is a Driver based in Huntington Beach, CA. Michael Lara practices in Huntington Beach, CA. The NPI Number for Michael Lara is 1033455753 and holds a License No. D4622640 (California).

The current practice location address for Michael Lara is 1714 Alabama St, Huntington Beach, CA and can be reached out via phone at 714-673-8327.

Location: 1714 Alabama St, Huntington Beach, CA, 92648-3124
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033455753
Provider Name
Michael Lara
Credential
Provider Entity Type
Individual
Gender
Male
Address
1714 Alabama St, Huntington Beach, CA, 92648-3124
Phone Number
714-673-8327
Fax Number
Provider Enumeration Date
12/28/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1714 Alabama St
City
Huntington Beach
State
California
Zip
92648-3124
Phone Number
714-673-8327
Fax Number
person
Provider Business Mailing Address Details
Address
1714 Alabama St
City
Huntington Beach
State
California
Zip
92648-3124
Phone Number
714-673-8327
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
D4622640 (California)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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