Individual
CHRISTOPHER J LAURICELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9000 N MAIN ST STE G-35, ENGLEWOOD, OH 45415
(937) 836-4361
(937) 836-1140
Mailing address
3170 KETTERING BLVD BLDG B3, MORAINE, OH 45439-1924
(937) 991-3188
(937) 223-9811
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34008436L
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2552134
—
OH
Enumeration date
06/19/2005
Last updated
02/19/2019
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