Individual
LARA ARCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-A
Contact information
Practice address
497 AZALEA DR STE 101, OXFORD, MS 38655-7907
(662) 234-1337
Mailing address
497 AZALEA DR STE 101, OXFORD, MS 38655-7907
(662) 234-1337
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A1103
MS
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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