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

Lara R Kalush

Individual provider Nurse Practitioner · NPI 1134342553

Lara R Kalush is a Nurse Practitioner in Jacksonville, Florida. Licensed in Colorado and Florida. Registered with an NPI since 2007.

Licensed in
CO, FL
In the registry since
2007
Specialties on file
2

Practice location Address checks out

5491 Dolphin Point Blvd
Jacksonville, FL 32211
Phone: (303) 807-7168
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 11011666 (FL)
Nurse Practitioner Taxonomy 363L00000X · Licence 118940 (CO)

Record details

NPI number1134342553
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 11, 2007
Last updated in NPPESSeptember 15, 2025
Certification dateSeptember 15, 2025

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