Individual
LARA F JARADAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
825 N WASHINGTON ST, WILMINGTON, DE 19801-1509
(026) 557-1103
Mailing address
825 N WASHINGTON ST, WILMINGTON, DE 19801-1509
(026) 557-1103
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
44729
MN
2084P0800X
Psychiatry Physician
Primary
C1-0003749
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
345492400
—
MN
Enumeration date
02/10/2006
Last updated
04/26/2018
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