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Individual
DR. LAWRENCE ERICK LARUSSA
Active
Individual
DR. LAWRENCE ERICK LARUSSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
SC006477
PA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SN00681
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04500643
—
NY
01
—
SC006477
PENNSYLVANIA STATE PODIATRIC MEDICAL LISCENSE NUMBER
PA
Enumeration date
06/26/2013
Last updated
05/09/2022
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