Individual provider · Type 1 NPI

Lara Yatoma, NP

Adult Health Nurse Practitioner · Detroit, MI

NPI number 1417327156 Active

Practice location

2799 W Grand Blvd
Detroit, MI 48202

Mailing address

7432 Rafford Ln
West Bloomfield, MI 48322-3194

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X4704279927 (MI)
Adult Health Nurse Practitioner Primary 363LA2200X4704279927 (MI)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1417327156

Lara Yatoma, NP's National Provider Identifier is 1417327156, issued on Oct 6, 2015. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Detroit, MI. The record was last updated on Feb 17, 2021.