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Individual
LARS KAINE
Active
Individual
LARS KAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
80774
AZ
207Q00000X
Family Medicine Physician
Primary
C176841
CA
207Q00000X
Family Medicine Physician
MD60129126
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972789774
—
WA
01
—
80774
TRAINING PERMIT
AZ
01
—
P00877590
RRMC
WA
Enumeration date
01/11/2008
Last updated
04/03/2024
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