Individual
LAURA MCKENZIE LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1200 GRANT BLVD W, WABASHA, MN 55981-1042
(651) 565-4531
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
72446
MN
207Q00000X
Family Medicine Physician
84025
WI
Other
Enumeration date
04/16/2021
Last updated
11/15/2024
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