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Lara Dupre Sudik, FNP-C
Family Nurse Practitioner in Ganado, Texas
NPI 1396336459

Lara Dupre Sudik is a Family Nurse Practitioner based in Ganado, TX and is specialized in Family. Lara Dupre Sudik practices in Ganado, TX and has the professional credentials of FNP-C. The NPI Number for Lara Dupre Sudik is 1396336459 and holds a License No. 1024878 (Texas).

The current practice location address for Lara Dupre Sudik is 910 Huisache St, Ganado, TX and can be reached out via phone at 361-649-4674.

Location: 910 Huisache St, Ganado, TX, 77962-8414
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396336459
Provider Name
Lara Dupre Sudik
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
910 Huisache St, Ganado, TX, 77962-8414
Phone Number
361-649-4674
Fax Number
Provider Enumeration Date
02/01/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
910 Huisache St
City
Ganado
State
Texas
Zip
77962-8414
Phone Number
361-649-4674
Fax Number
person
Provider Business Mailing Address Details
Address
910 Huisache St
City
Ganado
State
Texas
Zip
77962-8414
Phone Number
361-649-4674
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
1024878 (Texas)
Definition
Definition to come...
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