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Jennifer Marie Lara

Internal Medicine in Portsmouth, NH. Individual provider (NPI-1).

NPI number1295313591
StatusActive
Last updated in NPPESOct 13, 2024

Details

NPI
1295313591
Entity type
Individual (NPI-1)
Name
Jennifer Marie Lara
Sex
Female
Sole proprietor
No
Enumeration date
Mar 30, 2021
Certification date
Oct 13, 2024
Last updated
Oct 13, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine33100NHYes

Practice location

333 Borthwick Ave
Portsmouth, NH 03801-7128

Phone 603-436-5110

Mailing address

333 Borthwick Ave
Portsmouth, NH 03801-7128

Phone 603-436-5110

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