Male or Other

Lawrence G. Lareau M.D.

Diagnostic Radiology Physician in Miami, FL(View on Map)

Full Name

Lawrence Germain Lareau M.D.

NPI Number

1174522999

NPI Type

Individual Provider

Gender

Male

Enumeration Date

07/14/2005

Specialties

(Taxonomies)

Code

2085R0202X

Primary Taxonomy

Yes

Licenses

State

Florida
Pennsylvania

License Number

ME102931
MD033012E

Contact
Information

Purpose

Mailing
Location

Address

1611 NW 12TH AVE
1611 NW 12TH AVE

City

Miami
Miami

State

FL
FL

Postal Code

33136-1005
33136-1005

Country

US
US

Telephone Number

(305) 243-6164
(305) 243-6164

Identifiers

Identifier

0011342970080

Identifier State

PA

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/25/2024

Provider Address

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