LARA EISA

BUFFALO, NY
NPI1003226226
Former NameLARA ABDEL-SHAFEI EISA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: MA  273761)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2014-04-28
Last Update Date2019-08-23
Business Address
LARA EISA M.D
3435 MAIN ST 252 FARBER HALL
BUFFALO, NY 14214-3001
Phone number: 716-829-6102
Mailing Address
LARA EISA M.D
25 MORRISSEY BLVD UNIT 1130
DORCHESTER, MA 02125-3354
Phone number: 716-364-8535