Fisher, Lara Lee
Fisher, Lara Lee is an individual health care provider with primary practice located at 4414 Lake Boone Trl Suite 405, Raleigh NC 27607-7513. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Fisher, Lara Lee can be contacted via phone (919) 876-8225.Contact Information
Primary practice address
4414 Lake Boone Trl Suite 405
Raleigh NC 27607-7513
Phone: (919) 876-8225
Fax: (919) 876-3371
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | North Carolina |
Profile Details
| NPI number | 1386644060 |
|---|---|
| LBN Legal business name | Fisher, Lara Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386644060 | NPPES |
| North Carolina | MEDICAID | 891289T |
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