National Provider Identifier
Lawrence Larussa, PA
Lawrence Larussa, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (585) 266-0770.
Profile Overview
- NPI
- 1376515106
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- February 06, 2006
- Last Updated
- July 08, 2007
Practice Location
- 1726 Ridge RD E
- Suite 3
- Rochester, NY 14622-2157
Phone: (585) 266-0770
Mailing Address
- 1338 Ridge RD E
- Rochester, NY 14621-2018
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1376515106
- Entity Type
- Individual
- Last Name
- Larussa
- First Name
- Lawrence
- Credential
- PA
- Mailing Street Address
- 1338 Ridge RD E
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-2018
- Mailing Country
- US
- Mailing Phone
- (585) 922-2410
- Practice Street Address
- 1726 Ridge RD E
- Practice Address Line 2
- Suite 3
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14622-2157
- Practice Country
- US
- Practice Phone
- (585) 266-0770
- Practice Fax
- (585) 467-5369
- Enumeration Date
- February 06, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)