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Individual

LAWRENCE M KOSOVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
640 S WASHINGTON ST STE 240, NAPERVILLE, IL 60540-6792
(630) 355-3668
(630) 355-3016
Mailing address
640 S WASHINGTON ST STE 240, NAPERVILLE, IL 60540-6792
(630) 355-3668
(630) 355-3016

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016004029
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
016004029
IL
01
2230194
BC
IL
01
480032630
RR MEDICARE
Enumeration date
12/27/2005
Last updated
09/11/2008
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