Mr Hector Lara, MSW is a
Social Worker - Clinical based in Clearlake, California. Mr Hector Lara is licensed to practice in California (license number 29325) and his current practice location is
14130 Lakeshore Dr., Clearlake, California. He can be reached at his office (for appointments etc.) via phone at
(707) 272-8707.
NPI number for Mr Hector Lara is 1164655247 and his current mailing address is 16170 Main Street, Lower Lake, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164655247.
Healthcare Provider's Profile
| Full Name | Mr Hector Lara |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 14130 Lakeshore Dr., Clearlake, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1164655247
- Provider Enumeration Date: 08/24/2009
- Last Update Date: 08/14/2012
Medical Identifiers
Medical identifiers for Mr Hector Lara such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164655247 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101Y00000X | Counselor | 29325 (California) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 29325 (California) | 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. Mr Hector 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 |
|---|
Mr Hector Lara, MSW
16170 Main Street,
Lower Lake, CA 95457
Ph: (707) 272-8707 | Mr Hector Lara, MSW
14130 Lakeshore Dr.,
Clearlake, CA 95422
Ph: (707) 272-8707 |
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