Goss, Lara L
Goss, Lara L is an individual health care provider with primary practice located at 504 Elm St Ne , Albuquerque NM 87102-2512. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Goss, Lara L can be contacted via phone (505) 724-2005.Contact Information
Primary practice address
504 Elm St Ne
Albuquerque NM 87102-2512
Phone: (505) 724-2005
Fax: (505) 843-2931
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 2004-0582 | New Mexico |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2004-0582 | New Mexico |
Profile Details
| NPI number | 1316942501 |
|---|---|
| LBN Legal business name | Goss, Lara L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2005 |
| Last updated | Jan 17th, 2024 - about 11 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316942501 | NPPES |
| New Mexico | MEDICAID | 28885724 |
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