Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Lara Kristina Primak, MD

Individual provider Pediatrics Physician · NPI 1356444780

Dr. Lara Kristina Primak, MD is a Pediatrics Physician in Fort Drum, New York. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

11050 Mt Belvedere Blvd USA Meddac/credentials
Fort Drum, NY 13602-5004
Phone: (315) 772-4025
Fax: (315) 772-9498
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence MD063446L (PA)

Record details

NPI number1356444780
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 7, 2006
Last updated in NPPESJuly 8, 2007

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