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1649954652
LARA ANDERSON
NEW YORK, NY
NPI
1649954652
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY 404962)
Enumeration Date
2023-06-12
Last Update Date
2023-06-12
Business Address
LARA ANDERSON PMHNP
198 E 121ST ST
NEW YORK, NY 10035-3523
Phone number: 212-801-3300
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Mailing Address
LARA ANDERSON PMHNP
65 W BROAD ST APT 602
ROCHESTER, NY 14614-2218
Phone number: 309-255-9730
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