DR. LARA CHURCH, M.D.

Family Medicine

Active Individual
NPI: 1043280449

Practice Address

141 HILDEN RD STE 201
CREDENTIALING DEPARTMENT
Ponte Vedra, FL 32081

Phone: (904) 825-1941

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes ME105548 (FL)

Frequently Asked Questions

NPI 1043280449 is the National Provider Identifier for DR. LARA CHURCH, M.D., a Family Medicine provider located in Ponte Vedra, FL. This NPI was enumerated on January 26, 2006.
DR. LARA CHURCH, M.D. practices at 141 HILDEN RD STE 201, CREDENTIALING DEPARTMENT, Ponte Vedra, FL 32081.

Quick Facts

NPI
1043280449
Type
Individual
Enumerated
Jan 26, 2006
Last Updated
Dec 27, 2018

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