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Individual
WILFREDO C LARA
Active
Individual
WILFREDO C LARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME86697
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2416244
UNITED HEALTHCARE
FL
05
—
269577402
—
FL
05
—
269577405
—
FL
05
—
269577406
—
FL
05
—
269577407
—
FL
05
—
269577408
—
FL
01
—
37551
BLUE CROSS BLUE SHIELD
FL
01
—
5730290
CIGNA
FL
01
—
7192597
AETNA
FL
01
—
7403
MEDICA HEALTHCARE
FL
Enumeration date
06/30/2006
Last updated
04/27/2021
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