Individual
LARA ELIZABETH BERKLITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3333 BURNET AVE, CINCINNATI, OH 45229-3026
(513) 636-4371
Mailing address
3333 BURNET AVE, CINCINNATI, OH 45229-3026
(513) 636-4371
(513) 636-7657
Taxonomy
Speciality
Code
Description
License number
State
207ZP0213X
Pediatric Pathology Physician
Primary
35.145472
OH
390200000X
Student in an Organized Health Care Education/Training Program
MT213231
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
07/08/2017
Last updated
09/09/2022
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