Individual
MS. LARA HOLLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
88 HOWELL ST NE, ATLANTA, GA 30312-1646
(678) 720-8845
Mailing address
88 HOWELL ST NE, ATLANTA, GA 30312-1646
(678) 720-8845
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
174H00000X
Health Educator
—
—
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
11/18/2014
Last updated
11/18/2014
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