Lara R Clary-Lantis
Family Doctor - Hospice and Palliative Medicine
5301 E Huron River Dr
Ypsilanti
, Michigan 48197-1051
Lara R Clary-Lantis
Family Doctor - Hospice and Palliative Medicine
5301 E Huron River Dr
Ypsilanti
, Michigan 48197-1051
(734) 222-3100
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About
Features
Specialties
- Family Doctor - Hospice and Palliative Medicine
Languages spoken
- English
Location
First Address
- Lara R Clary-Lantis
- 24 Frank Lloyd Wright Dr Po Box 0446 - Lobby J
- Ann Arbor, MI
- Zip : 48105-9484
- Fax : (734) 222-3100
- Phone : (734) 747-6766
Second Address
- Lara R Clary-Lantis
- 5301 E Huron River Dr
- Ypsilanti, MI
- Zip : 48197-1051
- Phone : (734) 712-8676
Reviews
FAQs
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In what state does Lara R Clary-Lantis practice in?
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Is Lara R Clary-Lantis a sole practitioner?
Is Lara R Clary-Lantis accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 5101018066 | MI |
National Provider Identifier
| NPI | 1093894164 |
|---|---|
| Provider Name | Lara R Clary-Lantis |
| First Address | Ann Arbor, MI 48105-9484 |
| Second Address | Ypsilanti, MI 48197-1051 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/11/2006 |
| Last Update Date | 21/07/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000344854 | BLUE CROSS/SHIELD PIN (01) | KY |
| 2509968 | OHIO MEDICAID PIN (01) | OH |
| 64087901 | (05) | KY |
| I20239 | (02) | KY |
| P00168867 | RAILROAD MEDICARE PIN (01) | KY |
| P00734129 | RAIL ROAD MEDICARE (01) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.