Mahnaz Lary Md Inc Ps | |
2950 Squalicum Pkwy Bellingham WA 98225-1857 | |
(360) 671-7100 | |
Not Available |
Full Name | Mahnaz Lary Md Inc Ps |
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Speciality | Internal Medicine |
Location | 2950 Squalicum Pkwy, Bellingham, Washington |
Authorized Official Name and Position | Mahnaz Lary (OWNER, MD) |
Authorized Official Contact | 6189423777 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mahnaz Lary Md Inc Ps 2950 Squalicum Pkwy Bellingham WA 98225-1857 Ph: (360) 671-7100 | Mahnaz Lary Md Inc Ps 2950 Squalicum Pkwy Bellingham WA 98225-1857 Ph: (360) 671-7100 |
NPI Number | 1083960751 |
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Provider Enumeration Date | 07/31/2012 |
Last Update Date | 11/07/2012 |
Medicare PECOS PAC ID | 1355592759 |
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Medicare Enrollment ID | O20121113000024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083960751 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Kelly L Evans |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1700887338 PECOS PAC ID: 2860480878 Enrollment ID: I20100703000013 |
Provider Name | Mahnaz Lary |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1285732289 PECOS PAC ID: 8921136086 Enrollment ID: I20121113000057 |
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