Individual
SUZZETTE VAN-LARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5457 TWIN KNOLLS RD STE 300, COLUMBIA, MD 21045-3296
(240) 608-2744
Mailing address
5457 TWIN KNOLLS RD STE 300, COLUMBIA, MD 21045-3296
(678) 907-3060
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0006037
MD
Other
Enumeration date
01/16/2016
Last updated
05/15/2024
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