Dakkak, Lara

Dakkak, Lara is an individual health care provider with primary practice located at 1670 Clairmont Rd Education Service Line Attn: Shelia Palmer, Decatur GA 30033-4004. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Dakkak, Lara can be contacted via phone (770) 375-9202.

Contact Information

Primary practice address
1670 Clairmont Rd Education Service Line Attn: Shelia Palmer Decatur GA 30033-4004
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 008255 Georgia

Profile Details

NPI number 1851839328
LBN Legal business name Dakkak, Lara
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2017
Last updated Feb 6th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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