SearchFlorida363A00000X

Lara East Laneve, PA-C

NPI 1992802912 · on the registry since 2006

Practice

Address
4479 Baymeadows Rd
Jacksonville, FL 32217
Phone
(904) 731-8300
Organisation at this address
First Coast Dermatology P A
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-11-06

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