Individual
DR. ODALYS ESTEFANIA LARA GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
81 ED PERRY BLVD STE 107, OXFORD, MS 38655-3465
(662) 636-6290
(662) 636-1706
Mailing address
965 RIDGE LAKE BLVD STE 315, MEMPHIS, TN 38120-9401
(901) 227-8591
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125073171
IL
207R00000X
Internal Medicine Physician
Primary
29119
MS
Other
Enumeration date
07/11/2018
Last updated
09/14/2021
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