Organization
LARRY H MINKOFF DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY H MINKOFF DPM (OWNER)
(570) 288-2866
Entity
Organization
Contact information
Practice address
70 MAIN ST, LUZERNE, PA 18709-1210
(570) 288-2866
(570) 288-2866
Mailing address
70 MAIN ST, LUZERNE, PA 18709-1210
(570) 288-2866
(570) 288-2866
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130955
HIGHMARK BLUE SHIELD
PA
Enumeration date
05/10/2007
Last updated
08/22/2020
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