Physician Compare National (NPI:1013987510)

HEALTHCARE PROVIDER: LARA HUFFMAN M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1013987510
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3971785262
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20150306002047
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HUFFMAN
	Individual professional last name
Provider First Name	LARA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	2001
	Individual professional's medical school graduation year
Primary Specialty	PSYCHIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	OWL ADVENTURES LLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	2961834916
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	2
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	215 S 3RD ST
	Group Practice or individual's line 1 address
City	HAYTI
	Group Practice or individual's city
State	MO
	Group Practice or individual's state
Zip Code	638511617
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5739227383
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	041330
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PIGGOTT COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y