Individual
LAKI J ROUSOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
299 CAREW ST, MERCY MEDICAL CENTER, SPRINGFIELD, MA 01104-2301
(413) 748-9628
(413) 748-9662
Mailing address
299 CAREW ST, MERCY MEDICAL CENTER, SPRINGFIELD, MA 01104-2301
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
230384
MA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
54475
CT
Other
Enumeration date
10/09/2006
Last updated
11/21/2022
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