Provider Demographics
NPI:1265928824
Name:FRIEL, LARA MARIE (APRN)
Entity type:Individual
Prefix:MRS
First Name:LARA
Middle Name:MARIE
Last Name:FRIEL
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:247 JASON DR
Mailing Address - Street 2:
Mailing Address - City:NICHOLASVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40356-2387
Mailing Address - Country:US
Mailing Address - Phone:859-420-2852
Mailing Address - Fax:
Practice Address - Street 1:800 ROSE ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-1458
Practice Address - Country:US
Practice Address - Phone:859-257-1000
Practice Address - Fax:859-218-7658
Is Sole Proprietor?:No
Enumeration Date:2018-07-06
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3012445363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily