Individual
DR. LARA AZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
26850 PROVIDENCE PKWY, SUITE 455, NOVI, MI 48374-1213
(248) 465-4847
(248) 465-4809
Mailing address
362 DETROIT AVE, ROYAL OAK, MI 48073-3644
(586) 909-9878
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301077738
MI
Other
Enumeration date
05/27/2005
Last updated
11/07/2013
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