LARA SPERANZA LAZARRE RIES

SHEBOYGAN, WI
NPI1124393228
Former NameLARA S LAZARRE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
(Licence: WI  100754)
Additional Taxonomies2084N0400X Psychiatry & Neurology, Neurology
(Licence: IA  R-9656)
2084N0400X Psychiatry & Neurology, Neurology
(Licence: HI  MD-22041)
Enumeration Date2012-03-21
Last Update Date2023-10-26
Business Address
LARA SPERANZA LAZARRE RIES M.D.
3400 UNION AVE
SHEBOYGAN, WI 53081-8426
Phone number: 920-802-2100
Mailing Address
LARA SPERANZA LAZARRE RIES M.D.
PO BOX 735044
CHICAGO, IL 60673-5044
Phone number: 920-802-2100