Individual ProviderLara KollabStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address9500 Euclid Ave # Na23, Cleveland, OH 44195-0001(216) 444-2200PECOS EnrollmentBased on the most recent information from CMS, provider Lara Kollab is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1003305129Provider TypeIndividualFull NameKollab, LaraCredentialDOGenderFemaleSole ProprietorYesEnumeration Date5/3/2018Last Updated5/3/2018Contact InformationPractice LocationPractice Address9500 Euclid Ave # Na23, Cleveland, OH 44195-0001Phone(216) 444-2200FaxUnlisted FaxMailing LocationMailing Address9500 Euclid Ave # Na23, Cleveland, OH 44195-0001PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer