Julian Lara
Ophthalmic Assistant
550 E Boughton Rd Ste 120
Bolingbrook
, Illinois 60440-2193
Julian Lara
Ophthalmic Assistant
550 E Boughton Rd Ste 120
Bolingbrook
, Illinois 60440-2193
(773) 290-4157
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About
Features
Specialties
- Ophthalmic Assistant
Languages spoken
- English
Location
First Address
- Julian Lara
- 9813 S Keeler Ave Apt D
- Oak Lawn, IL
- Zip : 60453-3474
- Phone : (773) 290-4157
Second Address
- Julian Lara
- 550 E Boughton Rd Ste 120
- Bolingbrook, IL
- Zip : 60440-2193
- Phone : (630) 783-9960
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 156FX1101X | Ophthalmic Assistant |
National Provider Identifier
| NPI | 1205354883 |
|---|---|
| Provider Name | Julian Lara |
| First Address | Oak Lawn, IL 60453-3474 |
| Second Address | Bolingbrook, IL 60440-2193 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/09/2017 |
| Last Update Date | 05/09/2017 |
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.