Dr. SANDRA LARE D.O.
Individual Provider (NPI-1)
Active
Psychiatry & Neurology, Psychiatry
Provider Information
- NPI Number
1073699559- Provider Type
- Individual Provider (NPI-1)
- Credentials
- D.O.
- Status
- Active
Contact & Location
- Address
- 2609 S 10TH AVE STE 102, CALDWELL, ID, 836056885
- Phone
- (208) 454-2766
Specialties & Taxonomies
Psychiatry & Neurology, Psychiatry
License: CA #20A7836
Psychiatry & Neurology, Psychiatry
License: SC #0479
Psychiatry & Neurology, Psychiatry
Primary License: NC #2005-01564