Czelusta, Lawrence Allen

Czelusta, Lawrence Allen is an sole proprietor health care provider with primary practice located at 8601 Village Dr Ste 104 , San Antonio TX 78217-5509. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Sports Medicine. Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine is his primary health care specialty. Czelusta, Lawrence Allen can be contacted via phone (210) 656-6383.

Contact Information

Primary practice address
8601 Village Dr Ste 104 San Antonio TX 78217-5509
Phone: (210) 656-6383
Fax: (210) 967-5766
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 633 Texas
Podiatric Medicine & Surgery Service Providers / Sports Medicine 213ES0000X 633 Texas

Profile Details

NPI number 1568532950
LBN Legal business name Czelusta, Lawrence Allen
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2006
Last updated Mar 14th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568532950 NPPES
Texas Other 333800YX2Y PTAN
Texas Other 00FF35 PTAN

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