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Justin Nicholas Laridaen, MD
Student in an Organized Health Care Education/Training Program in Danville, Pennsylvania
NPI 1528718426

Justin Nicholas Laridaen is a Student in an Organized Health Care Education/Training Program based in Danville, PA. Justin Nicholas Laridaen practices in Danville, PA and has the professional credentials of MD. The NPI Number for Justin Nicholas Laridaen is 1528718426 and holds a License No. (Pennsylvania).

The current practice location address for Justin Nicholas Laridaen is 100 N Academy Ave, Danville, PA and can be reached out via phone at 570-214-8130.

Location: 100 N Academy Ave, Danville, PA, 17822-9800
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528718426
Provider Name
Justin Nicholas Laridaen
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
100 N Academy Ave, Danville, PA, 17822-9800
Phone Number
570-214-8130
Fax Number
Provider Enumeration Date
03/24/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 N Academy Ave
City
Danville
State
Pennsylvania
Zip
17822-9800
Phone Number
570-214-8130
Fax Number
person
Provider Business Mailing Address Details
Address
100 N Academy Ave
City
Danville
State
Pennsylvania
Zip
17822-9800
Phone Number
570-214-8130
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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