David Wayne Lariscy MD

NPI 1134362718 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1134362718
Gender Male
Enumeration Date 04/13/2009
Last Updated 01/06/2016
Entity Type Individual
Active Over 7 years ago
Practice Location
922 NORTHSIDE DR E
STATESBORO GA, 30458-2168, US
Phone (912) 489-6246
Fax (912) 489-6346
Business Location
922 NORTHSIDE DR E
STATESBORO GA, 30458-2168, US
Phone (912) 489-6246
Fax
Toxanomy
Taxonomy Code 390200000X
License State New York
License Number 62851
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According to our database, Dr. David Wayne Lariscy MD NPI is 1134362718, taxonomy code is 390200000X and license number is 62851, license state is located at New York. David Wayne Lariscy MD physically located at 922 Northside Dr E, Statesboro GA, 30458-2168. NPI Number David Wayne Lariscy MD has the Individual type.

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1134362718 NPI number is provided on an as is basis without warranty of any kind. 1134362718 is maintained by the National Plan & Provider Enumeration System. The contents of David Wayne Lariscy MD are for informational purposes only.