Lara S Booth, RN
Individual provider Active NPI School Registered Nurse · Georgetown, DE
NPI 1508003989 · NPPES record last updated Jan 7, 2009
Key facts
- NPI
- 1508003989
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Registered Nurse 163WS0200X
- License
- L1-0037044 (DE)
- Practice address
- 20346 Ennis Rd
Georgetown, DE 19947-4108 - Phone
- (302) 856-1926
- NPI assigned
- Jan 7, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L1-0037044 | DE | MD | School Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | L1-0037044 | DE | Yes |
Addresses
Primary practice location
20346 Ennis Rd
Georgetown, DE 19947-4108
Mailing address
20346 Ennis Rd
Georgetown, DE 19947-4108
Phone (302) 856-1926
Other providers in Georgetown, DE
- Linda Diane Blowey
- Blue Horizon Health, LLC
- Blue Skies Counseling
- Stacy L. Bobak
- Patricia Danielle Bolden
- Glenda Bowden
- Marcy Bradley
- Brain Works Incorporated
- Heather Brandenburg
- Brandywine Podiatry PA
All providers in Georgetown, DE · School Registered Nurse in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.