Individual provider · Type 1 NPI
Leonard R. Larussa, DPM
Foot & Ankle Surgery Podiatrist · Americus, GA
NPI number
1689628216
Active
Practice location
201A Reese Street
Americus, GA 31709-3752
Fax (229) 931-0509
Mailing address
201A Rees St
Americus, GA 31709-3752
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | POD000775 (GA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
About NPI 1689628216
Leonard R. Larussa, DPM's National Provider Identifier is 1689628216, issued on May 19, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Americus, GA. The record was last updated on Feb 12, 2022.