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Individual

LARA B EISENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1145 19TH ST NW, SUITE 205, WASHINGTON, DC 20036-3701
(301) 279-4490
(301) 279-4489
Mailing address
PO BOX 4196, COLUMBUS, GA 31914-0196
(301) 279-4490
(301) 279-4489

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
D0054567
MD

Other

Enumeration date
10/24/2005
Last updated
10/11/2012
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