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Olegario Jay Lara, DO
Diagnostic Radiology Physician in Santa Clara, California
NPI 1376575910

Olegario Jay Lara is a Diagnostic Radiology Physician based in Santa Clara, CA and is specialized in Diagnostic Radiology. Olegario Jay Lara practices in Santa Clara, CA and has the professional credentials of DO. The NPI Number for Olegario Jay Lara is 1376575910 and holds a License No. 20A6671 (California).

The current practice location address for Olegario Jay Lara is 710 Lawrence Expy, Santa Clara, CA and can be reached out via phone at 408-851-5067.

Location: 710 Lawrence Expy, Santa Clara, CA, 95051-5173
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376575910
Provider Name
Olegario Jay Lara
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
710 Lawrence Expy, Santa Clara, CA, 95051-5173
Phone Number
408-851-5067
Fax Number
Provider Enumeration Date
07/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00AX66710 01 CA MEDICAL
institution
Provider Business Practice Location Address Details
Address
710 Lawrence Expy
City
Santa Clara
State
California
Zip
95051-5173
Phone Number
408-851-5067
Fax Number
person
Provider Business Mailing Address Details
Address
710 Lawrence Expy
City
Santa Clara
State
California
Zip
95051-5173
Phone Number
408-851-5067
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
20A6671 (California)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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