National Provider Identifier
Lawrence Erick Larussa, DPM
Lawrence Erick Larussa, DPM is listed in the NPPES registry with a primary specialty of Foot & Ankle Surgery Podiatrist in Geneva, NY and a listed phone number of (315) 789-8132.
Profile Overview
- NPI
- 1669812335
- Provider Type
- Individual
- Primary Specialty
- Foot & Ankle Surgery Podiatrist
- Enumeration Date
- June 26, 2013
- Last Updated
- May 09, 2022
Practice Location
- 650 Pre Empton RD
- Geneva, NY 14456-1334
Phone: (315) 789-8132
Specialties
- Foot & Ankle Surgery Podiatrist (213ES0103X)
- Foot & Ankle Surgery Podiatrist (213ES0103X)
Full Record
- NPI
- 1669812335
- Entity Type
- Individual
- Last Name
- Larussa
- First Name
- Lawrence
- Middle Name
- Erick
- Name Prefix
- Dr.
- Credential
- DPM
- Mailing Street Address
- 650 Pre Empton RD
- Mailing City
- Geneva
- Mailing State
- NY
- Mailing ZIP Code
- 14456-1334
- Mailing Country
- US
- Mailing Phone
- (315) 789-8132
- Mailing Fax
- (315) 789-8136
- Practice Street Address
- 650 Pre Empton RD
- Practice City
- Geneva
- Practice State
- NY
- Practice ZIP Code
- 14456-1334
- Practice Country
- US
- Practice Phone
- (315) 789-8132
- Practice Fax
- (315) 789-8136
- Enumeration Date
- June 26, 2013
- Last Updated
- May 09, 2022
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- May 09, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Foot & Ankle Surgery Podiatrist (213ES0103X), Foot & Ankle Surgery Podiatrist (213ES0103X)
- Other Identifiers
- 04500643 (NY), SC006477 (PA, Pennsylvania State Podiatric Medical Liscense Number)