Individual
LARA FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
281 LINCOLN ST, MEDICAL STAFF SVCS, WORCESTER, MA 01605-2138
(508) 334-8015
Mailing address
86 DEXTER AVE APT 3, WATERTOWN, MA 02472-4230
(857) 389-6724
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
222427
MA
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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