Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Danette Lara

Individual provider Athletic Trainer · NPI 1104550813

Danette Lara is an Athletic Trainer in Gorman, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2022
Specialties on file
3

Practice location Address checks out

414 N Potter St
Gorman, TX 76454-7645
Phone: (254) 734-5196
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 40674922 (TX)
Athletic Trainer Taxonomy 2255A2300X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1104550813
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 11, 2022
Last updated in NPPESJuly 11, 2022
Certification dateJune 9, 2022