Provider Demographics
NPI:1922360601
Name:ROSENBAUM, LARA E (MD)
Entity Type:Individual
Prefix:DR
First Name:LARA
Middle Name:E
Last Name:ROSENBAUM
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:14275 N 87TH ST STE 110
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-3696
Mailing Address - Country:US
Mailing Address - Phone:480-905-8485
Mailing Address - Fax:480-905-7274
Practice Address - Street 1:6316 W UNION HILLS DR STE 200
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-1001
Practice Address - Country:US
Practice Address - Phone:480-905-8485
Practice Address - Fax:480-905-7274
Is Sole Proprietor?:No
Enumeration Date:2012-06-08
Last Update Date:2020-05-27
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Provider Licenses
StateLicense IDTaxonomies
AZ53370207ND0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery