Individual
ELIDA LIZETH LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
140 LINCOLN AVE, HAVERHILL, MA 01830-6700
(978) 374-2000
Mailing address
1 EDWARD ST, CANTON, MA 02021-2303
(781) 828-3533
(781) 828-2471
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1942
MA
Other
Enumeration date
07/01/2006
Last updated
07/08/2007
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