person
Dr. Leonard R Larussa, DPM
Foot & Ankle Surgery Podiatrist in Americus, Georgia
NPI 1689628216

Leonard R Larussa is a Foot & Ankle Surgery Podiatrist based in Americus, GA and is specialized in Foot & Ankle Surgery. Leonard R Larussa practices in Americus, GA and has the professional credentials of DPM. The NPI Number for Leonard R Larussa is 1689628216 and holds a License No. POD000775 (Georgia).

The current practice location address for Leonard R Larussa is 201A Reese Street, Americus, GA and can be reached out via phone at 229-931-0505 and via fax at 229-931-0509.

Location: 201A Reese Street, Americus, GA, 31709-3752
person
Provider Profile Details
NPI Number
1689628216
Provider Name
Leonard R Larussa
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
201A Reese Street, Americus, GA, 31709-3752
Phone Number
229-931-0505
Fax Number
229-931-0509
Provider Enumeration Date
05/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000709574E 05 GA
POD000775 01 GA PODIATRY LICENSE
3274611900 01 GA PECOS
institution
Provider Business Practice Location Address Details
Address
201A Reese Street
City
State
Zip
31709-3752
Phone Number
229-931-0505
Fax Number
229-931-0509
person
Provider Business Mailing Address Details
Address
201A Reese Street
City
State
Zip
31709-3752
Phone Number
229-931-0505
Fax Number
229-931-0509
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
POD000775 (Georgia)
Definition
Definition to come...
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