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Individual
MR. LAWRENCE J. COLLURA
Active
Individual
MR. LAWRENCE J. COLLURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.W
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW-000224-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010986
CHAMPUS; OPTIONS; TRICARE
PA
01
—
366207
CIGNA EAP
PA
01
—
4610061
AETNA
PA
01
—
462181000
MAGELLAN EAP
PA
01
—
550534000
SELECT BLUE
PA
01
—
633825
HIGHMARK
PA
01
—
C9998-0
VRI
PA
Enumeration date
05/11/2006
Last updated
02/23/2010
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