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Individual

EUGENE R LAREAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2006 HEALTH CAMPUS DR, HARRISONBURG, VA 22801-8679
(540) 689-5800
(540) 689-5801
Mailing address
PO BOX 1430, HARRISONBURG, VA 22803-1430
(540) 437-7989
(540) 437-7984

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101021229
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
007341755
VA
05
0124751000
WV
01
082280
SOUTHERN HEALTH
VA
01
C05754
MEDICARE GROUP PTAN
VA
Enumeration date
06/27/2005
Last updated
03/30/2011
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