Wahlberg, Lara Beth

Wahlberg, Lara Beth is an individual health care provider with primary practice located at 462 1St Ave , New York NY 10016-9196. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Wahlberg, Lara Beth can be contacted via phone (212) 562-5278.

Contact Information

Primary practice address
462 1St Ave New York NY 10016-9196
Phone: (212) 562-5278
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X F307409-1 New York

Profile Details

NPI number 1881070092
LBN Legal business name Wahlberg, Lara Beth
Credentials DNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2015
Last updated Aug 11th, 2015 - about 11 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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