Individual
DR. OLIVIA DENISE LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
(984) 974-1000
Mailing address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-5506
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
BP10045817
TX
207VX0201X
Gynecologic Oncology Physician
Primary
2022-02022
NC
390200000X
Student in an Organized Health Care Education/Training Program
13-3971298
NY
Other
Enumeration date
04/17/2013
Last updated
08/31/2022
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