MEDICARE: SANDRA LARA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	372500000X	Chore Provider
2	372600000X	Adult Companion
3	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1033062849
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANDRA LARA

Provider Business Mailing Address
First Line	:	1254 N 4TH ST
Second Line	:
City	:	DAVID CITY
State	:	NE
Zip	:	68632-1106
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1254 N 4TH ST
Second Line	:
City	:	DAVID CITY
State	:	NE
Zip	:	68632-1106
Country	:	US
Telephone Number	:	402-615-2981
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/19/2026
Last Update Date	:	02/19/2026

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Directions to “ SANDRA LARA ” Practice Location

Language	Start Address	Practice Location

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