Individual
DR. LARA E YOBLONSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3333 E VAN BUREN ST, PHOENIX, AZ 85008-6812
(602) 933-0945
(602) 933-4263
Mailing address
3200 E CAMELBACK RD STE 250, PHOENIX, AZ 85018-2327
(602) 933-1814
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25745
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00037551
BANNER HEALTH PLAN
—
01
—
2Z1863
HEALTHNET
—
01
—
487711
AHCCCS
AZ
01
—
4877110
DES
—
01
—
487711001
APIPA
—
01
—
AZ0766020
BLUE CROSS BLUE SHIELD
—
Enumeration date
09/21/2006
Last updated
04/04/2018
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