# WILFREDO C LARA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1942238522
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | ME86697 | FL | Yes |

## Other

- **Enumeration date:** 06/30/2006
- **Last updated:** 04/27/2021

## 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 |