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Individual

LARA ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
198 E 121ST ST, NEW YORK, NY 10035-3523
(212) 801-3300
Mailing address
65 W BROAD ST APT 602, ROCHESTER, NY 14614-2218
(309) 255-9730

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
404962
NY

Other

Enumeration date
06/12/2023
Last updated
06/12/2023
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