Individual
LARA E MARSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
630 E RIVER ST, ELYRIA, OH 44035-5902
(440) 329-7450
Mailing address
630 E RIVER ST, ELYRIA, OH 44035-5902
(440) 329-7450
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME112194
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004849400
—
FL
01
—
FZ034Z
MEDICARE PTAN
FL
Enumeration date
07/07/2009
Last updated
03/26/2014
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