Healthcare Provider Details

I. General information

NPI: 1255254892
Provider Name (Legal Business Name): MONICA LARA FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 CANYON ST
PLAINVIEW TX
79072-7508
US

IV. Provider business mailing address

6633 MONTICELLO AVE
LUBBOCK TX
79424-2590
US

V. Phone/Fax

Practice location:
  • Phone: 806-291-0297
  • Fax:
Mailing address:
  • Phone: 806-705-7493
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1244440
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: