Individual
LUIS F. LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
222 PIEDMONT AVE, CINCINNATI, OH 45219-4231
(513) 475-7505
(513) 475-7355
Mailing address
PO BOX 636256, CINCINNATI, OH 45263-6256
(513) 585-6200
(513) 245-3672
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
35.075545
OH
207RG0100X
Gastroenterology Physician
35075545
OH
207RG0100X
Gastroenterology Physician
ME 111093
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0193952
—
OH
05
—
168971303
—
TX
Enumeration date
04/28/2006
Last updated
08/02/2023
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