Cheyanne Lara, is a
Community Health Worker based in Stockton, California. Cheyanne Lara is licensed to practice in * (Not Available) (license number ) and her current practice location is
1414 N California St, Stockton, California. She can be reached at her office (for appointments etc.) via phone at
(209) 468-2393.
NPI number for Cheyanne Lara is 1427740588 and her current mailing address is 1350 Buckingham Way Apt 25, Stockton, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1427740588.
Healthcare Provider's Profile
| Full Name | Cheyanne Lara |
|---|
| Gender | Female |
|---|
| Speciality | Community Health Worker |
|---|
| Location | 1414 N California St, Stockton, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1427740588
- Provider Enumeration Date: 05/25/2023
- Last Update Date: 10/16/2023
Medical Identifiers
Medical identifiers for Cheyanne Lara such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427740588 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Cheyanne Lara is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Cheyanne Lara,
1350 Buckingham Way Apt 25,
Stockton, CA 95207-4914
Ph: (209) 665-6658 | Cheyanne Lara,
1414 N California St,
Stockton, CA 95202-1515
Ph: (209) 468-2393 |
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