Carl Larusson, DPM

NPI #1013602010 in Binghamton, New York

Provider Information

NPI Number: 1013602010
Entity Type: Individual
Name: Carl Larusson, DPM
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: DPM
Enumeration Date: Apr 6, 2023
Last Updated: Apr 13, 2023

Practice Location

Address: 169 RIVERSIDE DR
City: Binghamton
State: New York
ZIP Code: 13905-4198
Phone: (607) 798-6701

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assistant, Podiatric	211D00000X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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