Massie, Lara Walsh

Massie, Lara Walsh is an individual health care provider with primary practice located at 2580 Haymaker Rd Ste 106 , Monroeville PA 15146-3500. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as her primary health care specialty. Massie, Lara Walsh can be contacted via phone (412) 858-7766.

Contact Information

Primary practice address
2580 Haymaker Rd Ste 106 Monroeville PA 15146-3500
Phone: (412) 858-7766
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X MD470152 Pennsylvania

Profile Details

NPI number 1912264185
LBN Legal business name Massie, Lara Walsh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2012
Last updated Oct 1st, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912264185 NPPES
Other 14673844 CAQH
MEDICAID 103773585 CAQH

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