Individual
LARISSA L.A. FUJII-LAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 266-4347
(507) 284-0538
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 266-4347
(507) 284-0538
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
42176
AZ
207R00000X
Internal Medicine Physician
Primary
54420
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
MN
05
—
ENROLLED
—
SD
05
—
ENROLLED
—
WI
01
—
P01053465
MEDICARE - RAIL ROAD
MN
Enumeration date
06/10/2008
Last updated
02/21/2014
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