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Lara Church, M.D
NPI 1043280449 · on the registry since 2006
Practice
- Address
- 141 Hilden Rd Ste 201
Credentialing Department
Ponte Vedra, FL 32081 - Phone
- (904) 825-1941
- Fax
- (904) 829-2850
- Organisation at this address
- Baptist Primary Care, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-12-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida