Individual
LARA ASLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6157 S CHANTICLEER DR, MAUMEE, OH 43537-1303
(419) 345-0055
Mailing address
6157 S CHANTICLEER DR, MAUMEE, OH 43537-1303
(419) 345-0055
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN.392817
OH
Other
Enumeration date
07/28/2023
Last updated
07/28/2023
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