person
Alex Ivan Lara
Magnetic Resonance Imaging Radiologic Technologist in Moreno Valley, California
NPI 1558068213

Alex Ivan Lara is a Magnetic Resonance Imaging Radiologic Technologist based in Moreno Valley, CA and is specialized in Magnetic Resonance Imaging. Alex Ivan Lara practices in Moreno Valley, CA. The NPI Number for Alex Ivan Lara is 1558068213 and holds a License No. (California).

The current practice location address for Alex Ivan Lara is 13527 Crape Myrtle Dr, Moreno Valley, CA and can be reached out via phone at 951-421-5678 and via fax at 951-421-5678. You can also correspond with Alex Ivan Lara through the mailing address at 13527 CRAPE MYRTLE DR, MORENO VALLEY, CA - 92553-4396 (mailing address contact number: 951-421-5678).

Location: 13527 Crape Myrtle Dr, Moreno Valley, CA, 92553-4396
person
Provider Profile Details
NPI Number
1558068213
Provider Name
Alex Ivan Lara
Credential
Provider Entity Type
Individual
Gender
Male
Address
13527 Crape Myrtle Dr, Moreno Valley, CA, 92553-4396
Phone Number
951-421-5678
Fax Number
951-421-5678
Provider Enumeration Date
02/13/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
13527 Crape Myrtle Dr
City
State
Zip
92553-4396
Phone Number
951-421-5678
Fax Number
951-421-5678
person
Provider Business Mailing Address Details
Address
13527 Crape Myrtle Dr
City
State
Zip
92553-4396
Phone Number
951-421-5678
Fax Number
951-421-5678
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
Magnetic Resonance Imaging
Taxonomy
License No.
(California)
Definition
Definition to come...
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