Individual
LAWRENCE GERMAIN LAREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 243-6164
Mailing address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 243-6164
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MD033012E
PA
2085R0202X
Diagnostic Radiology Physician
Primary
ME102931
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011342970080
—
PA
Enumeration date
07/14/2005
Last updated
04/25/2024
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