| Lara Barkoff MD PC | |
|
4123 Montgomery Blvd Ne Albuquerque NM 87109-1102 | |
| (505) 934-9104 | |
| Not Available |
| Full Name | Lara Barkoff MD PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 4123 Montgomery Blvd Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Lara Barkoff (CEO/ MEDICAL DIRECTOR) |
| Authorized Official Contact | 5059349104 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lara Barkoff MD PC 4123 Montgomery Blvd Ne Albuquerque NM 87109-1102 Ph: (505) 934-9104 | Lara Barkoff MD PC 4123 Montgomery Blvd Ne Albuquerque NM 87109-1102 Ph: (505) 934-9104 |
| NPI Number | 1831519800 |
|---|---|
| Provider Enumeration Date | 04/17/2014 |
| Last Update Date | 04/17/2014 |
| Medicare PECOS PAC ID | 0042437840 |
|---|---|
| Medicare Enrollment ID | O20140818001711 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831519800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 96-189 (New Mexico) | Primary |
| Provider Name | Lara Barkoff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497714695 PECOS PAC ID: 9931158763 Enrollment ID: I20050119000132 |
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