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Individual

NABILAH FAIRUZ LARI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
100 WASHINGTON ST NE STE 102, HUNTSVILLE, AL 35801-5052
(856) 676-3995
Mailing address
604 RIDGEGATE PL, HUNTSVILLE, AL 35801-1956
(856) 676-3995

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
38202
AL
207Q00000X
Family Medicine Physician
58435
TN

Other

Enumeration date
04/19/2016
Last updated
12/11/2019
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