Abby Jo Lara
Nurse Practitioner - Family Medicine
500 Clinic Dr
Hopkinsville
, Kentucky 42240-4991
Abby Jo Lara
Nurse Practitioner - Family Medicine
500 Clinic Dr
Hopkinsville
, Kentucky 42240-4991
(270) 326-3954
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Abby Jo Lara
- 2700 Stanley Gault Pkwy Suite 129
- Louisville, KY
- Zip : 40223-5132
- Fax : (270) 326-3954
- Phone : (270) 326-3949
Second Address
- Abby Jo Lara
- 500 Clinic Dr
- Hopkinsville, KY
- Zip : 42240-4991
- Fax : (270) 707-3351
- Phone : (270) 707-3354
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 3007353 | KY |
National Provider Identifier
| NPI | 1003189267 |
|---|---|
| Provider Name | Abby Jo Lara |
| First Address | Louisville, KY 40223-5132 |
| Second Address | Hopkinsville, KY 42240-4991 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/02/2012 |
| Last Update Date | 08/12/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 7100200240 | (05) | KY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.