Primak, Lara Kristina
Primak, Lara Kristina is an individual health care provider with primary practice located at 11050 Mt. Belvedere Blvd. Usa Meddac/Credentials, Fort Drum NY 13602-5004. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Primak, Lara Kristina can be contacted via phone (315) 772-4025.Contact Information
Primary practice address
11050 Mt. Belvedere Blvd. Usa Meddac/Credentials
Fort Drum NY 13602-5004
Phone: (315) 772-4025
Fax: (315) 772-9498
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD063446L | Pennsylvania |
Profile Details
| NPI number | 1356444780 |
|---|---|
| LBN Legal business name | Primak, Lara Kristina |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2006 |
| 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.
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