Individual
DR. LISA LAROCCA-HULSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
260 MIDDLE COUNTRY RD, SUITE 104, SMITHTOWN, NY 11787-2982
(631) 724-1166
(631) 724-4130
Mailing address
260 MIDDLE COUNTRY RD, SUITE 104, SMITHTOWN, NY 11787-2982
(631) 724-1166
(631) 724-4130
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N005415
NY
Other
Enumeration date
10/02/2006
Last updated
03/15/2011
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