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Organization

LARA BARKOFF MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LARA BARKOFF M.D. (CEO/ MEDICAL DIRECTOR)
(505) 934-9104
Entity
Organization

Contact information

Practice address
4123 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87109-1102
(505) 934-9104
Mailing address
4123 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87109-1102
(505) 934-9104

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
96-189
NM

Other

Enumeration date
04/17/2014
Last updated
04/17/2014
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