NPI | 1124393228 |
---|---|
Former Name | LARA S LAZARRE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 100754) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IA R-9656) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: HI MD-22041) | |
Enumeration Date | 2012-03-21 |
Last Update Date | 2023-10-26 |