Individual
LARA ZIBNERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3620 KIEKEBUSCH CT, CARMICHAEL, CA 95608-2840
(916) 944-2501
Mailing address
3620 KIEKEBUSCH CT, CARMICHAEL, CA 95608-2840
(916) 944-2501
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
227519
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02459823
—
NY
Enumeration date
02/23/2006
Last updated
02/17/2009
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