Search › Michigan › 363A00000X
Lara Nassar
NPI 1780487561 · on the registry since 2025
Practice
- Address
- 21000 W 10 Mile Rd
Southfield, MI 48075 - Phone
- (313) 380-0527
- Clinicians at this address
- 9
Additional practice sites
- 3901 Beaubien St, Detroit, MI
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-12-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan