Individual
LARA M WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
149 MAIN ST, WINTHROP PEDIATRICS & ADOLESCENT MEDINDINE, STE 1A, WINTHROP, ME 04364-1486
(207) 377-2114
(207) 377-6112
Mailing address
149 MAIN ST, WINTHROP PEDIATRICS & ADOLESCENT MEDICINE, STE 1A, WINTHROP, ME 04364-1486
(207) 377-2114
(207) 377-6112
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
016464
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
431793499
—
ME
Enumeration date
02/24/2006
Last updated
10/16/2012
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