Danette Lara
Danette Lara is an Athletic Trainer in Gorman, Texas. Practices as a sole proprietor. Licensed in Texas.
- Licensed in
- TX
- In the registry since
- 2022
- Specialties on file
- 3
Practice location Address checks out
414 N Potter StGorman, TX 76454-7645
Phone: (254) 734-5196
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X · Licence 40674922 (TX) |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1104550813 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 11, 2022 |
| Last updated in NPPES | July 11, 2022 |
| Certification date | June 9, 2022 |
| Mailing address | Po Box 125, Gorman, TX 76454-0125 |