Lara Rae Lahman, RD | |
4705 Coho Ln, West Linn, OR 97068-2970 | |
(503) 657-5312 | |
Not Available |
Full Name | Lara Rae Lahman |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 4705 Coho Ln, West Linn, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639340524 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 528 (Oregon) | Primary |
Provider Name | Integrated Medicine Group Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1033249404 PECOS PAC ID: 1951397660 Enrollment ID: O20040420001433 |
Mailing Address | Practice Location Address |
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Lara Rae Lahman, RD 4705 Coho Ln, West Linn, OR 97068-2970 Ph: (503) 657-5312 | Lara Rae Lahman, RD 4705 Coho Ln, West Linn, OR 97068-2970 Ph: (503) 657-5312 |
Marisa Michael, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2599 Debok Ct, West Linn, OR 97068 Phone: 503-303-7951 | |
Maia Lucy Penchansky, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2990 Brandywine Dr, West Linn, OR 97068 Phone: 503-766-2645 | |
Mrs. Jane Marie Grace, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 18380 Willamette Dr, West Linn, OR 97068 Phone: 503-697-4171 Fax: 503-697-1002 |