Individual
LARISSA L.A. FUJII-LAU
Active
Individual
LARISSA L.A. FUJII-LAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
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
Update your record
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