Individual
LARA EM HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 PROSPECT ST STE 10, BELLINGHAM, WA 98225-4428
(415) 400-6677
Mailing address
120 PROSPECT ST STE 10, BELLINGHAM, WA 98225-4428
(415) 400-6677
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MASS.MA.60609970
WA
Other
Enumeration date
01/11/2016
Last updated
01/11/2016
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