Individual
LARA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8401 CONNECTICUT AVE STE 450, CHEVY CHASE, MD 20815-5805
(301) 453-2530
Mailing address
4614 LAMBERT PL, ALEXANDRIA, VA 22311-4959
(202) 669-0517
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AC007289
MD
Other
Enumeration date
01/23/2025
Last updated
01/23/2025
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