Individual
DR. LARA HAYEL AL-EJEILAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14500 99TH AVE N, MAPLE GROVE, MN 55369-4730
(763) 898-1000
(763) 898-1009
Mailing address
5103 LINCOLN DR, EDINA, MN 55436-1009
(352) 871-1592
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
56470
MN
Other
Enumeration date
08/24/2010
Last updated
12/05/2013
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