Individual
LARA JAUSSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
109 SCOTTS HILL MEDICAL DR. STE 204, WILMINGTON, NC 28411
(910) 662-1960
Mailing address
PO BOX 936857, SUITE 4001, ATLANTA, GA 31193-6857
(910) 662-1960
(910) 662-1969
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2025-03389
NC
207Q00000X
Family Medicine Physician
OS018853
PA
207Q00000X
Family Medicine Physician
OT016721
PA
Other
Enumeration date
06/02/2015
Last updated
10/16/2025
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