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Individual

LOUIS J LARCA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
15215 SHADY GROVE RD, SUITE 306, ROCKVILLE, MD 20850-3235
(301) 990-0040
(301) 990-0043
Mailing address
15215 SHADY GROVE RD, SUITE 306, ROCKVILLE, MD 20850-3235
(301) 990-0040
(301) 990-0043

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D0027837
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0006
BCBS OF DC INDIVIDUAL #
DC
05
351681400
MD
01
41663001
BCBS OF MD INDIVIDUAL #
MD
01
4787
BCBS OF DC GROUP NUMBER
DC
01
H830
BCBS OF MD GROUP NUMBER
MD
Enumeration date
03/31/2006
Last updated
07/31/2014
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