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Contact Information

RACHEL LARA
2630 CENTRAL AVE # 3349
EIELSON AFB, AK99702-2301
 Phone: 907-377-3017
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for RACHEL LARA · (Female)

NPI # 1467012146
Status Active
Credentials
Entity Individual
Enumeration date 06/16/2019
Last updated 12/09/2025 - About 6 months ago
Sole proprietor 1 No
Identifiers
  • VA License # 0810008180
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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