Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Idalid Lara

Individual provider Physician Assistant · NPI 1063238533

Idalid Lara is a Physician Assistant in Buford, Georgia. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

3516 Marion Ct
Buford, GA 30519-4059
Phone: (470) 546-2090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1063238533
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 29, 2024
Last updated in NPPESNovember 29, 2024
Certification dateNovember 29, 2024
Mailing address3516 Marion Ct, Buford, GA 30519-4059

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