Lara, Marie-Alice

Lara, Marie-Alice is an individual health care provider with primary practice located at 10000 Stirling Rd Suite 3, Cooper City FL 33024-8067. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Lara, Marie-Alice can be contacted via phone (954) 517-9166.

Contact Information

Primary practice address
10000 Stirling Rd Suite 3 Cooper City FL 33024-8067
Phone: (954) 517-9166
Fax: (954) 517-9167
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME79139 Florida

Profile Details

NPI number 1851386684
LBN Legal business name Lara, Marie-Alice
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Apr 2nd, 2008 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1851386684 NPPES
Florida Other 35540 BLUE CROSS BLUE SHIELD
Florida Other 1722315001 BLUE CROSS BLUE SHIELD
Florida Other 274662 BLUE CROSS BLUE SHIELD
Florida Other 7477630 BLUE CROSS BLUE SHIELD
Florida Other 2039274 BLUE CROSS BLUE SHIELD
Florida Other 295786 BLUE CROSS BLUE SHIELD
Florida Other 170211 BLUE CROSS BLUE SHIELD

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