Goss, Lara L
Goss, Lara L is an individual health care provider with primary practice located at 303 Roma Ave Nw , Albuquerque NM 87102-2251. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Goss, Lara L can be contacted via phone (505) 262-3542.Contact Information
Primary practice address
303 Roma Ave Nw
Albuquerque NM 87102-2251
Phone: (505) 262-3542
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 2004-0582 | New Mexico |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2004-0582 | New Mexico |
Profile Details
| NPI number | 1316942501 |
|---|---|
| LBN Legal business name | Goss, Lara L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2005 |
| Last updated | Mar 10th, 2025 - about last year |
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 | 1316942501 | NPPES |
| New Mexico | MEDICAID | 28885724 |
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