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Individual

CHRISTINE LAROSA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6780 MAYFIELD RD, MAYFIELD HEIGHTS, OH 44124-2203
(440) 312-4500
Mailing address
6780 MAYFIELD RD, MAYFIELD HEIGHTS, OH 44124-2203
(440) 312-4500

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
APRN.CNP.0030569
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0030569
OH
363LF0000X
Family Nurse Practitioner
RN.420981
OH

Other

Enumeration date
01/09/2022
Last updated
03/19/2022
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