Individual
LARA YOUNISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-5000
Mailing address
240 E HURON ST STE 1-200, CHICAGO, IL 60611-2909
(312) 503-7975
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
3018323
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/17/2021
Last updated
04/21/2025
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