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Individual

LARA BURROWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
75 ARCH ST, STE. 102, AKRON, OH 44304-1429
(330) 762-0954
(330) 252-0115
Mailing address
75 ARCH ST, STE. 102, AKRON, OH 44304-1429
(330) 762-0954
(330) 252-0115

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
042382
CT
207VG0400X
Gynecology Physician
Primary
35.090618
OH
207VG0400X
Gynecology Physician
MD036913
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4282731
MEDICARE ID
OH
01
4282733
MEDICARE ID
OH
Enumeration date
07/13/2005
Last updated
11/17/2011
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