Stewart, Lara E

Stewart, Lara E is an individual health care provider with primary practice located at 2825 Santa Monica Blvd Ste 301, Santa Monica CA 90404-2429. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Stewart, Lara E can be contacted via phone (310) 829-3130.

Contact Information

Primary practice address
2825 Santa Monica Blvd Ste 301 Santa Monica CA 90404-2429
Phone: (310) 829-3130
Fax: (310) 828-9156
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2003001210 Missouri
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20A9455 California

Profile Details

NPI number 1477559417
LBN Legal business name Stewart, Lara E
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Jul 9th, 2007 - about 17 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 1477559417 NPPES
Missouri MEDICAID 206087801

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