IndividualActive
George Lara, MS RCEP
NPI 1366711129 · Clinical Exercise Physiologist · Meridian, ID
Provider details
- NPI number
- 1366711129
- Entity type
- Individual
- Primary specialty
- Clinical Exercise PhysiologistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MS RCEP
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
3525 E Louise Dr
Suite 500
Meridian, ID 83642-6302
Phone: (208) 706-7050
Fax: (208) 706-7059
Approximate (ZIP-level) locationGet directions
Mailing address
3525 E. Louise Dr
Meridian, ID 83642-6305
Registry dates
- Enumerated
- 2011-12-23
- Last updated
- 2011-12-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.