Individual
SUSAN LAURITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, PLYMOUTH MEETING, PA 19462-1047
(800) 879-4471
Mailing address
216 W RAILROAD AVE, VERONA, PA 15147-1040
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN072341L
PA
Other
Enumeration date
02/02/2009
Last updated
02/02/2009
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