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Organization

DR LAWRENCE JOSEPH KRUSE OD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LAWRENCE JOSEPH KRUSE OD (DR)
(302) 731-7132
Entity
Organization

Contact information

Practice address
1421 KIRKWOOD HIGHWAY, SUITE 1106, NEWARK, DE 19711-5705
(302) 731-7132
(301) 731-7132
Mailing address
1421 KIRKWOOD HIGHWAY, SUITE 1106 POLLY DRYMMOND OFFICE PARK, NEWARK, DE 19711-5705
(302) 731-7132
(301) 731-7132

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
I30001125
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0000025822
DE
01
1073535571
MEDICARE-NPI-SOLO
Enumeration date
02/01/2008
Last updated
04/10/2008
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