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Individual
LARYSSA RICHARDS LONCAR
Active
Individual
LARYSSA RICHARDS LONCAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
OS023316
PA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
OT018463
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2018
Last updated
02/09/2024
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