MEDICARE: LARA MARIA KIERLIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084S0012X	Sleep Medicine (Psychiatry & Neurology) Physician	0000066278	TN
2	2084P0800X	Psychiatry Physician	0000066278	TN

General Provider Information

NPI Number	:	1962689794
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LARA MARIA KIERLIN MD

Provider Business Mailing Address
First Line	:	4235 HILLSBORO PIKE STE 300
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37215-3344
Country	:	US
Telephone Number	:	425-610-7705
Fax Number	:	888-980-6071

Provider Business Practice Location Address
First Line	:	4235 HILLSBORO PIKE STE 300
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37215-3344
Country	:	US
Telephone Number	:	425-610-7705
Fax Number	:	888-980-6071

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2008
Last Update Date	:	04/24/2025

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