Provider Demographics
NPI:1386859957
Name:POL, LARA (MA)
Entity Type:Individual
Prefix:MRS
First Name:LARA
Middle Name:
Last Name:POL
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8258 EVERETT WAY
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80005-2209
Mailing Address - Country:US
Mailing Address - Phone:303-456-2578
Mailing Address - Fax:
Practice Address - Street 1:8258 EVERETT WAY
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80005-2209
Practice Address - Country:US
Practice Address - Phone:303-456-2578
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist