Individual
LARISA BUYANTSEVA FRITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
21 WATERFORD DR, MECHANICSBURG, PA 17050
(717) 988-9180
(717) 775-5723
Mailing address
21 WATERFORD DR, MECHANICSBURG, PA 17050-8268
(717) 988-9180
(717) 775-5723
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD463785
PA
207KA0200X
Allergy Physician
D0079508
MD
207KA0200X
Allergy Physician
MD463785
PA
Other
Enumeration date
07/10/2010
Last updated
12/19/2020
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