Individual
LARA E MAGNABOSCO
Active
Individual
LARA E MAGNABOSCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MA
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
68104
MN
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
68104
MN
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
AP145933
TX
Other
Enumeration date
03/30/2016
Last updated
10/23/2025
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