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Individual
MS. LARA BURNS
Active
Individual
MS. LARA BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
026904-1
NY
Other
Enumeration date
04/09/2007
Last updated
11/27/2019
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