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Individual

LARA KATHRYN WEEKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01066853A
IN
208000000X
Pediatrics Physician
Primary
01066853A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000618966
ANTHEM
IN
01
000001024783
INTERNAL MED ANTHEM PIN UNDER TIN 35-2030653
IN
01
000001037742
PEDIATRIC ANTHEM PIN UNDER TIN 35-2030653
IN
05
200954280
IN
Enumeration date
05/21/2007
Last updated
06/23/2025
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