Larry E Lacrosse in Milwaukee - Emergency Medicine

Larry E Lacrosse - NPI 1902903784

Larry E Lacrosse is a Emergency Medicine in Milwaukee, Wisconsin. Larry E Lacrosse practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Larry E Lacrosse is 1902903784. The last update date is 2017-04-07.

Larry E Lacrosse's current location address is 10625 W North Ave, Milwaukee, Wisconsin. You can contact this provider via phone number 4148775350 and fax number 4148775360. The mailing address for Larry E Lacrosse is 10625 W North Ave, Milwaukee, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Larry E Lacrosse
Address 10625 W North Ave, Milwaukee, Wisconsin
Phone Number 4148775350
Fax Number 4148775360
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1902903784
Provider Enumeration Date 2006-09-20
Last Updated Date 2017-04-07

Provider Mailing Address Detail

Address 10625 W North Ave
City Milwaukee
State Wisconsin (WI)
Post Code 532262315
Phone Number 4148775350
Fax Number 4148775360

Provider's Primary Taxonomy Detail

Speciality Emergency Medicine
Taxonomy 207P00000X
Licence No ME76912
Definition:
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
31664300 WI --

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FAQs about Larry E Lacrosse

What is the unique provider identifier assigned to Larry E Lacrosse?

The Larry E Lacrosse has been issued the NPI (National Provider Identifier) 1902903784 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you share the physical location details of Larry E Lacrosse?

The Larry E Lacrosse is situated at 10625 W North Ave, in the city of Milwaukee, state of WI, with the zip code 532262315.

What is Larry E Lacrosse's specialized field of practice, and what is the corresponding taxonomy classification code?

The Larry E Lacrosse's area of specialization is Emergency Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207P00000X.

On what date did Larry E Lacrosse receive its 1902903784 assignment from the Centers for Medicare & Medicaid Services?

The Larry E Lacrosse was assigned its 1902903784 on 2006-09-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Larry E Lacrosse most recently updated or refreshed?

The details pertaining to the Larry E Lacrosse, including its address, specialty, and other relevant information, were last updated or refreshed on 2017-04-07.

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