Individual
LARRY CICERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
169 MARTIN AVE, EPHRATA, PA 17522-1724
(717) 733-0311
(717) 733-0876
Mailing address
129 SNAVELY MILL RD, LITITZ, PA 17543-7971
(717) 626-8057
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
073182
PA
Other
Enumeration date
07/02/2006
Last updated
05/01/2025
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