Lara Aboulhosn, MD
Obstetrics & Gynecology in Charlotte, NC. Individual provider (NPI-1).
NPI number1134489396
StatusActive
Last updated in NPPESOct 25, 2020
Details
- NPI
- 1134489396
- Entity type
- Individual (NPI-1)
- Name
- Lara Aboulhosn
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 22, 2012
- Certification date
- Sep 29, 2020
- Last updated
- Oct 25, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 2016-00462 | NC | Yes |
| 207V00000X | Obstetrics & Gynecology | 183178 | NC |
Practice location
1918 Randolph RdSuite 670
Charlotte, NC 28207-1100
Phone 704-384-1620 · Fax 704-384-1626
Mailing address
Po Box 60447Charlotte, NC 28260-0447
Phone 704-384-7840 · Fax 704-384-7830
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