Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Lara Acedillo

Individual provider Athletic Trainer · NPI 1720475577

Lara Acedillo is an Athletic Trainer in Millbrae, California. Practices as a sole proprietor. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
2
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Practice location Address checks out

165 Del Centro
Millbrae, CA 94030-2162 Not confirmed with CMS for 11 years — call before visiting
Phone: (650) 302-4473
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1720475577
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 20, 2015
Last updated in NPPESApril 20, 2015