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Individual

DR. LORI E LARUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
1010 N BANCROFT PKWY, SUITE 12, WILMINGTON, DE 19805-2690
(302) 658-1129
(302) 658-7646
Mailing address
1010 N BANCROFT PKWY, SUITE 12, WILMINGTON, DE 19805-2690
(302) 658-1129
(302) 658-7646

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E1-0000088
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0000198917
DE
Enumeration date
04/27/2006
Last updated
04/08/2015
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