Lara S. Ries M.D.
Neurology Physician in Sheboygan, WI(View on Map)
Full Name
Lara Speranza Lazarre Ries M.D.
NPI Number
1124393228
NPI Type
Individual Provider
Gender
Female
Enumeration Date
03/21/2012
Specialties
(Taxonomies)Licenses
State
Hawaii
Iowa
Wisconsin
License Number
MD-22041
R-9656
100754
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 735044
3400 UNION AVE
City
Chicago
Sheboygan
State
IL
WI
Postal Code
60673-5044
53081-8426
Country
US
US
Telephone Number
(920) 802-2100
(920) 802-2100
Identifiers
Identifier
100246626
Identifier State
WI
Identifier Issuer
Unknown
Health Information Exchange
Endpoint Type
DIRECT
FHIR
Endpoint
lries379462@direct.myadvocateaurora.org
https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Endpoint Description
Unknown
Unknown
Use
Direct
Unknown
Content Type
Unknown
Unknown
Affiliation
N
N
Endpoint Location
3400 Union AveSheboygan, WI530818426US
3400 Union AveSheboygan, WI530818426US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 10/26/2023