Lara Aboulhosn, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Charlotte, NC
NPI 1134489396 · NPPES record last updated Oct 25, 2020
Key facts
- NPI
- 1134489396
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 2016-00462 (NC)
- Practice address
- 1918 Randolph Rd
Suite 670
Charlotte, NC 28207-1100 - Phone
- (704) 384-1620
- Fax
- (704) 384-1626
- NPI assigned
- May 22, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 183178 | NC | MD | Obstetrics & Gynecology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 183178 | NC | |
| Obstetrics & Gynecology Physician | 207V00000X | 2016-00462 | NC | Yes |
Addresses
Primary practice location
1918 Randolph Rd
Suite 670
Charlotte, NC 28207-1100
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 384-7840
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | laboulhosn332676@direct.novanthealth.org |
Other providers in Charlotte, NC
- Brian W Ablitz
- Britney Abney
- Abode ABA
- Dalia Abou Zeki
- Hani M Aboufoul
- Claire Nche Aboung
- Above All Counseling Services LLC
- Elizabeth Ross Abowd
- Ashley Nicole Abraham
- Bradley James Abraham
All providers in Charlotte, NC · Obstetrics & Gynecology Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.