Whalio Doctors

NPI 1366711129

George P Lara, MSRCEP

Practitioner Clinical Exercise Physiologist Meridian, ID

Practice location

Address
3525 E Louise Dr Suite 500, Meridian, ID 83642-6302
Phone
(208) 706-7050
Fax
(208) 706-7059
Mailing address
3525 E. Louise Dr Suite 500, Meridian, ID 83642-6305

Registered specialties

Clinical Exercise Physiologist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Y00000X

Registry record

NPI
1366711129
Entity type
Individual
Sex (as registered)
Male
NPI issued
23 Dec 2011
Record last updated
23 Dec 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.