Individual
NATALIE JOAN LARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
19000 ST JOES PKWY STE 310, LIVONIA, MI 48152-1477
(734) 743-4540
Mailing address
41000 WOODWARD AVE STE 350, BLOOMFIELD HILLS, MI 48304-5092
(248) 325-8857
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
5101025693
MI
Other
Enumeration date
05/04/2016
Last updated
03/10/2025
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