Provider Demographics
NPI:1548557713
Name:MAY, LARA A (PHARMD, BCPS)
Entity Type:Individual
Prefix:DR
First Name:LARA
Middle Name:A
Last Name:MAY
Suffix:
Gender:F
Credentials:PHARMD, BCPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10321 OLYMPIC BLVD
Mailing Address - Street 2:
Mailing Address - City:TRUCKEE
Mailing Address - State:CA
Mailing Address - Zip Code:96161-1706
Mailing Address - Country:US
Mailing Address - Phone:865-356-4200
Mailing Address - Fax:
Practice Address - Street 1:10321 OLYMPIC BLVD
Practice Address - Street 2:
Practice Address - City:TRUCKEE
Practice Address - State:CA
Practice Address - Zip Code:96161-1706
Practice Address - Country:US
Practice Address - Phone:865-356-4200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-07
Last Update Date:2013-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV176461835P0018X
CA641301835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist