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Individual

DR. LARA WALSH MASSIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2580 HAYMAKER RD STE 106, MONROEVILLE, PA 15146-3500
(412) 858-7766
Mailing address
2580 HAYMAKER RD STE 106, MONROEVILLE, PA 15146-3500
(412) 858-7766
(412) 858-7769

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD470152
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103773585
PA
01
14673844
CAQH
Enumeration date
04/12/2012
Last updated
10/01/2020
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