Individual
LARRY LAURICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
618 N UNIVERSITY DR, NACOGDOCHES, TX 75961-4617
(936) 569-7460
(936) 560-5840
Mailing address
618 N UNIVERSITY DR, NACOGDOCHES, TX 75961-4617
(936) 569-7460
(936) 560-5840
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
810
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110223801
—
TX
05
—
159733801
—
TX
Enumeration date
09/15/2005
Last updated
10/21/2011
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