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Individual

DR. LARA PHILLIPS

Active
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Individual

DR. LARA PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
257774
MA
207P00000X
Emergency Medicine Physician
MD0000049128
TN
207P00000X
Emergency Medicine Physician
Primary
MD453744
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0466581
NJ
05
103039208 0001
PA
05
103039208 0002
PA
Enumeration date
06/03/2011
Last updated
08/08/2017
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