Individual
SUSANNE BEATRIZ LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 IRVING ST NW STE 4B42, WASHINGTON, DC 20010-3017
(202) 877-7000
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-0000
(410) 500-4266
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
NP1014141
DC
363LA2100X
Acute Care Nurse Practitioner
Primary
R194142
MD
363LA2100X
Acute Care Nurse Practitioner
RN1014141
DC
Other
Enumeration date
08/12/2017
Last updated
06/18/2025
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