Hart, Lara Renee
Hart, Lara Renee is an individual health care provider with primary practice located at 1800 Northside Forsyth Dr Ste. 260, Cumming GA 30041-8447. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Hart, Lara Renee can be contacted via phone (770) 255-2555.Contact Information
Primary practice address
1800 Northside Forsyth Dr Ste. 260
Cumming GA 30041-8447
Phone: (770) 255-2555
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 67638 | Georgia |
Profile Details
| NPI number | 1154594679 |
|---|---|
| LBN Legal business name | Hart, Lara Renee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2008 |
| Last updated | May 11th, 2015 - about 10 years 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 | 1154594679 | NPPES |
| Georgia | MEDICAID | 003123182B |
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