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Individual
DR. LARA MELANIE COLTON
Active
Individual
DR. LARA MELANIE COLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M1596
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
196454601
—
TX
05
—
196454602
—
TX
01
—
8BC025
BCBS
TX
01
—
P00639366
RAILROAD MEDICARE
TX
01
—
P01030943
RR MEDICARE
TX
Enumeration date
07/22/2006
Last updated
06/13/2012
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