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Dr. Lawrence Allen Czelusta I, DPM
Sports Medicine Podiatrist in San Antonio, Texas
NPI 1568532950

Lawrence Allen Czelusta I is a Sports Medicine Podiatrist based in San Antonio, TX and is specialized in Sports Medicine. Lawrence Allen Czelusta I practices in San Antonio, TX and has the professional credentials of DPM. The NPI Number for Lawrence Allen Czelusta I is 1568532950 and holds a License No. 633 (Texas).

The current practice location address for Lawrence Allen Czelusta I is 8601 Village Dr Ste 104, San Antonio, TX and can be reached out via phone at 210-656-6383 and via fax at 210-967-5766.

Location: 8601 Village Dr Ste 104, San Antonio, TX, 78266-2858
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Provider Profile Details
NPI Number
1568532950
Provider Name
Lawrence Allen Czelusta I
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
8601 Village Dr Ste 104, San Antonio, TX, 78266-2858
Phone Number
210-656-6383
Fax Number
210-967-5766
Provider Enumeration Date
11/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
333800YX2Y 01 TX PTAN
00FF35 01 TX BCBS PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
8601 Village Dr Ste 104
City
State
Zip
78217-5509
Phone Number
210-656-6383
Fax Number
210-967-5766
person
Provider Business Mailing Address Details
Address
8601 Village Dr Ste 104
City
State
Zip
78217-5509
Phone Number
210-656-6383
Fax Number
210-967-5766
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
633 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Sports Medicine
Taxonomy
License No.
633 (Texas)
Definition
Definition to come...
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