# LARA ELIZABETH BIRD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1952748576
- **Gender:** F
- **Credential:** APRN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 1120718 | KY | — |
| 363L00000X | Nurse Practitioner | 3008063 | KY | Yes |

## Other

- **Enumeration date:** 05/23/2013
- **Last updated:** 09/13/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 201178280A | — | IN |
| 05 | — | 7100247030 | — | KY |