Jennifer Lara, is a
Student In An Organized Health Care Education/training Program based in Riverside, California. Jennifer Lara is licensed to practice in * (Not Available) (license number ) and her current practice location is
3125 Myers St, Riverside, California. She can be reached at her office (for appointments etc.) via phone at
(951) 358-4840.
NPI number for Jennifer Lara is 1396315024 and her current mailing address is 24501 Angella Way, Moreno Valley, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1396315024.
Healthcare Provider's Profile
Full Name | Jennifer Lara |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 3125 Myers St, Riverside, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1396315024
- Provider Enumeration Date: 06/25/2021
- Last Update Date: 08/16/2024
Medical Identifiers
Medical identifiers for Jennifer Lara such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396315024 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (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. Jennifer 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 |
Jennifer Lara, 24501 Angella Way, Moreno Valley, CA 92551-7407 Ph: (951) 229-5924 | Jennifer Lara, 3125 Myers St, Riverside, CA 92503-5527 Ph: (951) 358-4840 |
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