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Organization
LSR ADVANCED MEDICAL CARE PLLC
Active
Organization
LSR ADVANCED MEDICAL CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARISA REPNINA (MANAGER)
(718) 368-2200
Entity
Organization
Contact information
Practice address
2965 OCEAN PKWY, 1 FLOOR, BROOKLYN, NY 11235-8014
(718) 368-2200
(718) 368-0400
Mailing address
2965 OCEAN PKWY, 1 FLOOR, BROOKLYN, NY 11235-8014
(718) 368-2200
(718) 368-0400
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/26/2006
Last updated
09/11/2007
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