Individual
DR. LARA CARLSON SACKHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4627 N DAVIS HWY, BLDG B, PENSACOLA, FL 32503-2364
(850) 476-2602
Mailing address
6031 CHAPMAN CIR, PENSACOLA, FL 32504-7950
(850) 377-9764
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN18679
FL
Other
Enumeration date
07/31/2009
Last updated
04/21/2015
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