Frank Paul Larussa JR. OD

NPI 1023129582 - Optometrist - 152W00000X

NPI Details
NPI 1023129582
Gender Male
Enumeration Date 08/31/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
209 LAKESHORE PKWY
HOMEWOOD AL, 35209-7105, US
Phone (205) 945-9728
Fax (205) 945-1934
Business Location
210 MORRIS BLVD
HOMEWOOD AL, 35209-5121, US
Phone (205) 290-9403
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Alabama
License Number S666 TA-112
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According to our database, Dr. Frank Paul Larussa JR. OD NPI is 1023129582, taxonomy code is 152W00000X and license number is S666 TA-112, license state is located at Alabama. Frank Paul Larussa JR. OD physically located at 209 Lakeshore Pkwy, Homewood AL, 35209-7105. NPI Number Frank Paul Larussa JR. OD has the Individual type.

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1023129582 NPI number is provided on an as is basis without warranty of any kind. 1023129582 is maintained by the National Plan & Provider Enumeration System. The contents of Frank Paul Larussa JR. OD are for informational purposes only.