Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LARA DIANE CHURCH, M.D.
ActiveDR. LARA DIANE CHURCH, M.D. is a Family Medicine healthcare provider located in PONTE VEDRA, Florida. NPI 1043280449 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · PONTE VEDRA, FL
Registration Details
- NPI Number
- 1043280449
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 26, 2006 (20.401533454958 yrs)
- Last Updated
- Dec 27, 2018
- License
-
ME105548 (FL)
Practice Information
- Address
-
141 HILDEN RD STE 201CREDENTIALING DEPARTMENTPONTE VEDRA, FL, 320818400Browse FL providers · Browse ZIP 32081
- Phone
- 9048251941
- Fax
- 9048292850
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in PONTE VEDRA, FL
| Name | Credential | NPI |
|---|---|---|
| DR. ANGELA KAY STAPLETON-MACKENZIE | M.D. | 1518969575 |
| DR. ARNOLD DOUGLAS FONG | M.D. | 1770571283 |
| DR. JOEL ALAN AHLGRIM | D.O. | 1306821236 |
| DR. GERARDO BALDASSARRI | M.D. | 1275504581 |
| JAMES D MOORE | MD | 1750353579 |
| RASHMI U SCHRAMM | MD | 1629046974 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.