Individual
DR. LARA WAHIB KFOURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
107 WOODLAWN DRIVE, JOHNSON CITY, TN 37604-5997
(423) 929-7158
(423) 928-9625
Mailing address
107 WOODLAWN DRIVE, SUITE 200, JOHNSON CITY, TN 37604-5997
(423) 929-7158
(423) 928-9625
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
47567
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/09/2007
Last updated
07/12/2012
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