Individual
MRS. LARA SHANI KAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
117 W 21ST ST STE 205, NORFOLK, VA 23517-2246
(757) 603-4604
(757) 210-4360
Mailing address
9629 SELBY PL, NORFOLK, VA 23503-1717
(757) 639-6858
(757) 547-4584
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110001645
VA
Other
Enumeration date
09/20/2006
Last updated
03/19/2022
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