Individual
LARA KESTER SURLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2450 EMERALD PL, GREENVILLE, NC 27834-5784
(252) 551-1066
(252) 551-1067
Mailing address
2450 EMERALD PL, GREENVILLE, NC 27834-5784
(252) 551-1066
(252) 551-1067
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200100963
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89134JY
—
NC
Enumeration date
05/04/2006
Last updated
12/29/2023
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