Individual
DR. VIOLETA LARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
540 LAKE AVE APT 5, HANCOCK, MI 49930-1938
(386) 864-1466
(906) 228-7192
Mailing address
540 LAKE AVE APT 5, HANCOCK, MI 49930-1938
(386) 864-1466
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301039412
MI
Other
Enumeration date
01/02/2012
Last updated
01/02/2012
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