Dr. Odalys Estefania Lara Garcia, MD
Internal Medicine in Oxford, MS. Individual provider (NPI-1).
NPI number1669958799
StatusActive
Last updated in NPPESSep 14, 2021
Details
- NPI
- 1669958799
- Entity type
- Individual (NPI-1)
- Name
- Dr. Odalys Estefania Lara Garcia
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 11, 2018
- Certification date
- Sep 14, 2021
- Last updated
- Sep 14, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 29119 | MS | Yes |
| 207R00000X | Internal Medicine | 125073171 | IL |
Practice location
81 Ed Perry Blvd Ste 107Oxford, MS 38655-3465
Phone 662-636-6290 · Fax 662-636-1706
Mailing address
965 Ridge Lake Blvd Ste 315Memphis, TN 38120-9401
Fax 901-227-8591
Other practice locations
701 N 1st St
Springfield, IL 62702-3757
Springfield, IL 62702-3757
Phone 217-545-8000 · Fax 217-545-4735
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