Individual provider · Type 1 NPI
Elida Lizeth Lara, P.A.
Surgical Physician Assistant · Haverhill, MA
NPI number
1245269463
Active
Practice location
140 Lincoln Ave
Haverhill, MA 01830-6700
Mailing address
1 Edward St
Canton, MA 02021-2303
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 1942 (MA) |
Surgical Physician Assistant: Definition to come...
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About NPI 1245269463
Elida Lizeth Lara, P.A.'s National Provider Identifier is 1245269463, issued on Jul 1, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Haverhill, MA. The record was last updated on Jul 8, 2007.