LARA L COAKLEY — Medicare Enrolled Provider (PRACTITIONER - NURSE PRACTITIONER, MA)
LARA L COAKLEY — Medicare Enrolled Provider (PRACTITIONER - NURSE PRACTITIONER, MA) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: LARA L COAKLEY; Type: Individual; NPI: 1003221136.
| Name | LARA L COAKLEY |
|---|---|
| Type | Individual |
| NPI | 1003221136 |
| Provider type | PRACTITIONER - NURSE PRACTITIONER |
| State | MA |
| Enrollment ID | I20141218000781 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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