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DR. LARA KRISTINA PRIMAK M.D.
NPI 1356444780
Pediatrics in Fort Drum, NY

Active since September 07, 2006
11050 MT. BELVEDERE BLVD., USA MEDDAC/CREDENTIALS, FORT DRUM, NY 13602(315) 772-4025(315) 772-9498 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Lara Kristina Primak M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LARA KRISTINA PRIMAK M.D. (NPI 1356444780) is an individual pediatrics provider in Fort Drum, New York, licensed in Pennsylvania (MD063446L) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1356444780
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. LARA KRISTINA PRIMAKCredential: M.D.
Location Address11050 MT. BELVEDERE BLVD., USA MEDDAC/CREDENTIALSFort Drum, NY 13602-5004
Mailing Address11050 Mt. Belvedere Blvd., Usa Meddac Attn: CredentialsFort Drum, NY 13602-5004 · (315) 772-4025 · Fax (315) 772-9498
Phone(315) 772-4025
Fax(315) 772-9498
Sole ProprietorNo
Enumeration DateSeptember 7, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1356444780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in PA · MD063446L
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
11050 MT. BELVEDERE BLVD., Fort Drum, NY 13602
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Other Identifiers 1

Medicare UPINVAD000

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SCOTT MICHAEL BOWMAN OTRL
Occupational Therapist
11050 MT. BELVEDERE BLVD.
FORT DRUM, NY 13602
Jefferson County (315) 774-4953
JOSEPH JOHNSON DPT
Clinic/Center (Physical Therapy)
11050 MT. BELVEDERE BLVD.
FORT DRUM, NY 13602
Jefferson County (315) 772-2151
DR. NATHAN LEE PRESTON DO
General Practice
11050 MT. BELVEDERE BLVD.
FORT DRUM, NY 13602
Jefferson County (888) 838-1303

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lara Primak's NPI number?

The NPI number for Lara Primak is 1356444780. It was assigned to this individual provider in the NPPES registry on September 7, 2006.

Where is Lara Primak located?

Lara Primak practices at 11050 Mt. Belvedere Blvd. Usa Meddac/Credentials, Fort Drum, NY 13602. The listed phone number is (315) 772-4025.

What is Lara Primak's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Lara Primak was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.