Dr Ethelbert M Lara, MD | |
205 Osceola St, Laurium, MI 49913-2134 | |
(906) 225-0122 | |
(906) 225-0135 |
Full Name | Dr Ethelbert M Lara |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 55 Years |
Location | 205 Osceola St, Laurium, Michigan |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437232022 | NPI | - | NPPES |
4833513 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 4301039413 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Uf Health Shands Hospital | Gainesville, FL | Hospital |
North Florida Regional Medical Center | Gainesville, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Florida Clinical Practice Association Inc | 0345146254 | 1622 |
Entity Name | Florida Clinical Practice Association Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063463768 PECOS PAC ID: 0345146254 Enrollment ID: O20031211000099 |
Mailing Address | Practice Location Address |
---|---|
Dr Ethelbert M Lara, MD 710 Chippewa Sq, Suite 101, Marquette, MI 49855-4821 Ph: (906) 225-0122 | Dr Ethelbert M Lara, MD 205 Osceola St, Laurium, MI 49913-2134 Ph: (906) 225-0122 |
Dr. Nathan Dale Mcparlan, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 205 Osceola St, Laurium, MI 49913 Phone: 906-225-3945 Fax: 906-225-3355 | |
Dr. Paul A Lyle, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 205 Osceola St, Laurium, MI 49913 Phone: 906-225-0122 Fax: 906-225-0135 |