Miriam Mercedes Lara

NPI #1124124854 in Hialeah, Florida

Provider Information

NPI Number: 1124124854
Entity Type: Individual
Name: Miriam Mercedes Lara
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: General Practice
Enumeration Date: Sep 16, 2006
Last Updated: May 23, 2008

Practice Location

Address: 2100 W 68TH ST
City: Hialeah
State: Florida
ZIP Code: 33016-1804
Phone: (305) 362-3969

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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