Jonathan Lara, is a
Licensed Practical Nurse based in North Aurora, Illinois. Jonathan Lara is licensed to practice in Illinois (license number 043124100) and his current practice location is
812 Aster Ct, North Aurora, Illinois. He can be reached at his office (for appointments etc.) via phone at
(870) 331-0170.
NPI number for Jonathan Lara is 1093682817 and his current mailing address is 812 Aster Ct, North Aurora, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1093682817.
Provider's Profile
| Full Name | Jonathan Lara |
|---|
| Gender | Male |
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| Speciality | Licensed Practical Nurse |
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| Location | 812 Aster Ct, North Aurora, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1093682817
- Provider Enumeration Date: 10/17/2025
- Last Update Date: 10/17/2025
Medical Identifiers
Medical identifiers for Jonathan Lara such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1093682817 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 164W00000X | Licensed Practical Nurse | 043124100 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jonathan Lara is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jonathan Lara, 812 Aster Ct, North Aurora, IL 60542-8909 Ph: (870) 331-0170 | Jonathan Lara, 812 Aster Ct, North Aurora, IL 60542-8909 Ph: (870) 331-0170 |
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