Healthcare Provider Details

I. General information

NPI: 1962689794
Provider Name (Legal Business Name): LARA MARIA KIERLIN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2008
Last Update Date: 04/24/2025
Certification Date: 04/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4235 HILLSBORO PIKE STE 300
NASHVILLE TN
37215-3344
US

IV. Provider business mailing address

4235 HILLSBORO PIKE STE 300
NASHVILLE TN
37215-3344
US

V. Phone/Fax

Practice location:
  • Phone: 425-610-7705
  • Fax: 888-980-6071
Mailing address:
  • Phone: 425-610-7705
  • Fax: 888-980-6071

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License Number0000066278
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number0000066278
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: