Individual
CLAUDIA LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
990 LOGANVILLE HWY SUITE 102, BETHLEHEM, GA 30620
(770) 848-9511
(770) 848-9512
Mailing address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 383-1037
(904) 244-4059
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
98963
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/12/2019
Last updated
11/20/2024
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