Individual
DR. LAWRENCE JOSEPH KRUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1106 DRUMMOND PLAZA, NEWARK, DE 19711-5705
(302) 731-7132
(302) 731-7132
Mailing address
1106 DRUMMOND PLAZA, NEWARK, DE 19711-5705
(302) 731-7132
(302) 731-7132
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
I30001125
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000025822
—
DE
01
—
0081040000
AMERIHEALTH
—
01
—
0505233
AETNA INS CO
—
Enumeration date
07/24/2006
Last updated
07/26/2010
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