Individual
MARIA LUZ LARA-MARQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
1792 QUEEN CATHERINE LN, WINSTON SALEM, NC 27106-4631
(504) 402-9469
(858) 244-7267
Mailing address
1792 QUEEN CATHERINE LN, WINSTON SALEM, NC 27106-4631
(504) 402-9469
(858) 244-7267
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
2025-0855
NC
207K00000X
Allergy & Immunology Physician
A145699
CA
208D00000X
General Practice Physician
2025-00855
NC
208D00000X
General Practice Physician
A145699
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235424771
NPI
CA
Enumeration date
06/13/2011
Last updated
11/08/2025
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