Individual
LARA MAE HOURANI HUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 PATEWOOD DR, SUITE A200, GREENVILLE, SC 29615-3593
(864) 454-5004
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
29948
SC
2080P0216X
Pediatric Rheumatology Physician
Primary
29948
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
299484
—
SC
Enumeration date
06/18/2007
Last updated
05/25/2021
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