Rabaa, Lara
Rabaa, Lara is an individual health care provider with primary practice located at 344 Arnold Ave , Greenville MS 38701-4711. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Rabaa, Lara can be contacted via phone (662) 344-9100.Contact Information
Primary practice address
344 Arnold Ave
Greenville MS 38701-4711
Phone: (662) 344-9100
Fax: (662) 344-9120
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MS22287 | Mississippi |
Profile Details
| NPI number | 1164752358 |
|---|---|
| LBN Legal business name | Rabaa, Lara |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2010 |
| Last updated | Mar 19th, 2013 - about 12 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 | 1164752358 | NPPES |
| Mississippi | MEDICAID | 08174711 |
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