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General NPI Number Information
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NPI Number | 1134067648
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Entity Type | Individual
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Provider Name | LAURI LEANN LARA
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Gender | Female
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Dates
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Enumeration Date | 03/24/2026
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Last Update Date | 03/24/2026
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Provider Practice Location Address
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Address Line | 929 PRESTON LN
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City | DUBLIN
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State | TX
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Zip | 76446-1003
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Country | US
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Telephone | 817-270-5835
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Fax | 817-270-5837
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Provider Business Mailing Address
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Address Line | 929 PRESTON LN
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City | DUBLIN
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State | TX
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Zip | 76446-1003
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Country | US
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Telephone | 817-270-5835
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Fax | 817-270-5837
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number | 270787
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License Number State | TX
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