Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0401X | Internist - Addiction Medicine | ME68224 | FL |
NPI | 1487651964 |
---|---|
Provider Name | Laura J Yard |
First Address | Sarasota, FL 34231-4029 |
Second Address | Sarasota, FL 34231-4029 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2005 |
Last Update Date | 12/01/2022 |