Individual
LARA ANTONIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-8667
Mailing address
22 S GREENE ST # S2A19, BALTIMORE, MD 21201-1544
(202) 602-7460
Taxonomy
Speciality
Code
Description
License number
State
207UN0902X
Nuclear Imaging & Therapy Physician
D92704
MD
2085R0202X
Diagnostic Radiology Physician
Primary
D92704
MD
Other
Enumeration date
04/15/2019
Last updated
07/26/2023
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