Larissa Ann Delo in Coudersport - General Practice
Larissa Ann Delo - NPI 1114081874
Larissa Ann Delo is a General Practice in Coudersport, Pennsylvania. Larissa Ann Delo practices all healthcare services and medical treatments related to General Practice. The NPI Number for Larissa Ann Delo is 1114081874. The last update date is 2007-07-08.
Larissa Ann Delo's current location address is 6 Niles Hill Rd, Coudersport, Pennsylvania. You can contact this provider via phone number 8142741111. The mailing address for Larissa Ann Delo is 6 Niles Hill Rd, Coudersport, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larissa Ann Delo |
|---|---|
| Address | 6 Niles Hill Rd, Coudersport, Pennsylvania |
| Phone Number | 8142741111 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1114081874 |
|---|---|
| Provider Enumeration Date | 2006-12-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6 Niles Hill Rd |
|---|---|
| City | Coudersport |
| State | Pennsylvania (PA) |
| Post Code | 169151211 |
| Phone Number | 8142741111 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DS-028583-L |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 15085930002 | PA | MEDICAL ASSISTANCE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Larissa Ann Delo by the Centers for Medicare & Medicaid Services?
The Larissa Ann Delo has been issued the NPI (National Provider Identifier) 1114081874, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Larissa Ann Delo?
The Larissa Ann Delo is situated at 6 Niles Hill Rd, in the city of Coudersport, state of PA, with the zip code 169151211.
What is the Larissa Ann Delo's area of specialization and corresponding taxonomy classification?
The Larissa Ann Delo's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1114081874 to Larissa Ann Delo?
The Centers for Medicare & Medicaid Services originally issued the 1114081874 to Larissa Ann Delo on 2006-12-20.
When was the information pertaining to Larissa Ann Delo most recently updated or revised?
The details related to Larissa Ann Delo, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.