Individual
LARA SUBHASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3326 160TH AVE SE STE 450, BELLEVUE, WA 98008-6418
(302) 932-8531
Mailing address
3326 160TH AVE SE STE 450, BELLEVUE, WA 98008-6418
(302) 932-8531
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP60591516
WA
Other
Enumeration date
10/12/2015
Last updated
04/07/2017
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