Kierlin, Lara Maria
Kierlin, Lara Maria is an individual health care provider with primary practice located at 12826 Se 40Th Ln Ste 203 , Bellevue WA 98006-4276. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Kierlin, Lara Maria can be contacted via phone (425) 610-7705.Contact Information
Primary practice address
12826 Se 40Th Ln Ste 203
Bellevue WA 98006-4276
Phone: (425) 610-7705
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD153794 | Oregon |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 2084S0012X | MD153794 | Oregon |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD153794 | Oregon |
Profile Details
| NPI number | 1962689794 |
|---|---|
| LBN Legal business name | Kierlin, Lara Maria |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2008 |
| Last updated | Jul 18th, 2019 - about 6 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 | 1962689794 | NPPES |
| Oregon | MEDICAID | 500641583 | |
| Oregon | MEDICAID | 500655829 |
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