NPI 1366711129
George P Lara, MSRCEP
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
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.