Individual
LARA K LABARBERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
263 FARMINGTON AVE, NEUROSURGERY, FARMINGTON, CT 06030-5352
(860) 679-4719
(860) 679-1419
Mailing address
263 FARMINGTON AVE, PROVIDER ENROLLMENT, FARMINGTON, CT 06030-2212
(860) 679-7503
(860) 679-1610
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001451
CT
363AS0400X
Surgical Physician Assistant
Primary
001451
CT
Other
Enumeration date
01/20/2006
Last updated
09/29/2022
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